Regional Contract Manager

Network Contract ManagerExplore opportunities with Logistics Health Incorporated (LHI), part of the Optum family of business. We're dedicated to simplifying the logistics of complex workforce health programs with cost-effective solutions and a seamless distribution process. With offices in La Crosse, Wis., a satellite office in Chicago and remote employees throughout the country, we have a variety of rewarding career opportunities for you. Elevate your career as you help us create a healthier tomorrow for everyone and discover the meaning behind Caring. Connecting. Growing together.
The Network Contract Manager will assist in building a provider network, including physicians, hospitals, pharmacies, ancillary groups, and facilities. This network will be geographically competitive, offer broad access, and remain stable, meeting goals for cost performance and trend management. The resulting network will deliver an affordable and predictable product for customers and business partners.
Primary

Responsibilities:
Conducts outreach to potential providersSupports development of the provider network (physicians, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for cost performancePerforms straightforward contract negotiation and pricing
- evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controlsEstablishes and maintains solid business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialtiesBalance financial and operational impact of contracts to providers, members, and different customer groups when developing and/or negotiating contract termsSupport evaluation of market rates and provider performance (e.g., billing patterns; referral patterns; quality and effectiveness) in order to establish provider rates and negotiation strategiesExplain the organization's direction and strategy to internal partners and providers in order to justify methodologies, processes, policies, and proceduresIdentify and gather information regarding provider issues in order to develop and/or implement strategy to resolve matter, keep manager informed of progress, or escalate issue to appropriate internal business partnerRepresent department in external meetings (e.g., ancillary providers; physician groups; facilities) to gather relevant information, recommend solutions, execute on deliverables as assigned and explain results/decision/activitiesMonitor and/or oversee provider financial performance to identify opportunities to improve performance and/or provider relationshipMonitor and/or oversee network performance and industry trends to identify opportunities to refine, develop, and/or implement market strategiesOther duties as assignedKey Work AttributesGenerally work is self-directed and not prescribed. Serves as a resource to othersWorks with less structured, more complex issuesAbility to adapt quickly as an high growth less mature business contributes to a dynamic, fluid, high learning work environmentAssesses and interprets customer needs and requirementsIdentifies solutions to non-standard requests and problemsSolves moderately complex problems and/or conducts moderately complex analysesWorks with minimal guidance; seeks guidance on only the most complex tasksCoaches, provides feedback, and guides others. Acts as a resource for othersYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required

Qualifications:
2+ years of experience with network contracting or provider relations in a managed care environmentDemonstrate understanding of and utilize applicable financial tools and reports to develop ratesDemonstrate understanding of contract language in order to assess financial and operational impact and legal implications of requested contract changesDemonstrate understanding of competitor landscape within the marketProven ability to utilize appropriate contract management systems to author and execute contracts and to access supplemental contractual documentsPreferred

Qualifications:
Sales experience is highly preferred to effectively negotiate contracts and establish solid business relationships with providersPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary,

we offer
benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and in