Contract Negotiator

5 days ago


Orange, California, United States Astiva Health, Inc Full time
About the Role

Astiva Health, Inc. is seeking a skilled Contract Manager to join our team in Orange, CA. As a key member of our Contracting Department, you will play a critical role in developing and implementing our proprietary network and executing contracting efforts with IPAs/Medical Groups, post-acute care, providers, and ancillary providers.

Key Responsibilities
  • Develop and maintain market relationships with key Astiva Health, Inc. partners.
  • Assist in developing internal market reporting, negotiating Network Provider contracts, and producing client-facing material.
  • Coordinate activities with Network Providers to improve satisfaction and manage relationships between Astiva Health and Network Providers in the assigned service area.
  • Ensure contract compliance of and access to provider network for all new and existing programs.
  • Monitor identified access barriers, billing and reimbursement trends, and utilization for provider retention or recruitment process.
Requirements
  • Bachelor's degree from an accredited college or university with a focus on Business Administration, Healthcare Administration, or Finance.
  • 5 years of previous experience in a Contracting role within a Health Plan, IPA/Medical Group, or Management Services Organization.
  • Strong financial acumen with proficiency in analyzing and interpreting financial trends in provider contracting.
  • Detailed contract preparation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies.
  • Excellent written and verbal communication skills with experience presenting to various audiences.
What We Offer
  • 401(k)
  • Dental Insurance
  • Health Insurance
  • Life Insurance
  • Vision Insurance
  • Paid Time Off

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