Healthcare Contracting Specialist

4 weeks ago


New York, New York, United States Village Care Full time
Job Title: Account Manager, Contracting

VillageCare is seeking a highly skilled Account Manager, Contracting to join our team. As a key member of our Network Contracting Team, you will play a crucial role in shaping health plan agreements and ensuring quality and excellence in healthcare delivery.

Key Responsibilities:

  • Facilitate the creation and maintenance of contracts, manage templates, and oversee amendments to ensure compliance and operational efficiency.
  • Submit contracts to the Third-Party Administrator (TPA) for rate updates, perform quality assurance in FACETS, and actively support various Network Management projects.
  • Maintain accurate documentation in LinkSquares/Salesforce, oversee contract terminations, and support initiatives like Minimum Wage and Wage Parity.

Requirements:

  • Bachelor's Degree in a health-related field or a related field.
  • Minimum of three years of experience in a health-related field, preferably in contracting and network development.
  • Proficiency in Salesforce and a solid understanding of healthcare contracting, including the ability to redline contracts and facilitate amendments effectively.
  • Experience in analyzing and utilizing data to drive network development initiatives, along with a comprehensive knowledge of the regulatory framework governing network adequacy for Medicare and Medicaid health plans.

What We Offer:

  • A competitive salary range of $102,000 to $115,000.
  • A generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b) with a 5% yearly employer contribution, Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts.

VillageCare is an Equal Opportunity Employer. We believe in taking care of our team, both on and off the job. If you're ready to take your management skills to the next level and join a team that values hard work and good times, complete our application today.



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