Network Contracting Manager

1 week ago


Austin, Texas, United States Curative HR LLC Full time
Job Summary

Curative HR LLC is seeking a skilled Network Contracting Manager to oversee the provider contracting process for our rapidly growing health plan. The ideal candidate will have 7+ years of experience in provider contracting and/or health insurance, with a strong background in contract language and financial acumen.

Key Responsibilities
  • Manage the provider contracting process, ensuring efficient use of documents and smooth contract flow
  • Collaborate with network contracting colleagues, legal department, compliance, credentialing, and claim operations to optimize and streamline the contracting process
  • Establish an end-to-end provider contract review policy and procedure, incorporating negotiation of language and rates
  • Lead the market fee schedule governance committee and ensure compliance with federal and state regulations
  • Own and update provider resources to comply with regulations or expansion
  • Identify potential risks associated with contracting activities and propose mitigation strategies
  • Partner with Compliance to ensure timely and accurate network filings
Requirements
  • Bachelor's degree or equivalent experience in a related field
  • 7+ years of work experience beyond degree in provider contracting and/or health insurance
  • Superior problem-solving, decision-making, negotiating skills, contract language, and financial acumen
  • Experience with physician group and ancillary provider contracting language and reimbursement
  • Demonstrated experience in seeking out, building, and nurturing strong internal and external relationships


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