Role Overview
This position is responsible for identifying and evaluating opportunities in support of network-based solutions by negotiating optimal reimbursement rates and drafting contracts for network and non-network providers to support commercial and government products.
What You Will Do
Assist management in the identification and development of contracting priorities for assigned territory to support Network Development provider contracting initiatives, negotiate provider contracts, and foster and maintain superior provider relationships.
Why It Might Be a Fit
The ideal candidate will have a strong understanding of provider finance components, provider organizations and operations, and the provider community and market dynamics.
Requirements
- Minimum Bachelor’s Degree in related or applicable field, or HS Diploma (or GED) and four (4) years of experience related to network development
- Minimum 5 years of experience in provider contracting and network development
- Knowledge of provider finance components including budgets, charge structures, reimbursement formulas, and healthcare finance
- Knowledge of provider organizations and operations applicable to assigned focus area
- Knowledge of the provider community and market dynamics, including interrelationships among hospitals, physicians, and ancillary services
- Excellent written, verbal, and listening communication skills, along with strong business acumen, analytical, negotiation, organizational, strategic thinking, multitasking, and prioritization skills
- Demonstrated success developing and negotiating complex financial rate structures and contract language
- Strong project and priority management skills in fast-paced environments
- Experience negotiating rate structures and contract language aligned with the Company’s business model while minimizing risk
- Strong understanding of contract structures with experience minimizing non-standard language
- Proven relationship-building skills with the ability to establish trust and credibility across all levels of the organization
- Collaborative approach with experience working across teams and organizational boundaries
- Strong internal and external customer relationship management skills
- Understanding of provider and competitor structures, relationships, and market dynamics
- Professional presence and effectiveness in in-person client interactions
- Strong persuasion and influencing skills
- Effective presentation and communication of the Company’s value proposition
- Willingness and ability to travel, including overnight stays
- Professional representation of the Company in all interactions
- Proficiency with computer software, hardware, and peripherals applicable to the role
Benefits
- Medical, dental and vision coverage with low deductible & copay
- Life insurance
- Short and long-term disability
- Paid Parental Leave
- 401(k) + match
- Employee Stock Purchase Plan
- Generous Paid Time Off – accrued based on years of service
- 10 paid company holidays
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year
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