Network Contract Manager
- Southfield, MI
What you'll be doing
- Network contract managers evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Assess and interpret customer needs and requirements. Identify solutions to non-standard requests and problems. Solve moderately complex problems and/or conduct moderately complex analysis. Work with minimal guidance; seek guidance on only the most complex tasks. Translate concepts into practice. Provide explanations and information to others on difficult issues. Coach, provide feedback, and guide others. Act as a resource for others with less experience. Applicant should have an attention for detail, excel in prioritizing and handling multiple tasks, and be prepared to go above and beyond what is listed in this posting.
What your background should be
- 4+ years of experience in a network management-related role, such as contracting or provider services In-depth knowledge of medicare reimbursement methodologies, i.e. resource based relative value system (RBRVS). 3+ years of experience in fee schedule development using actuarial models. 3+ years of experience utilizing financial models and analysis in negotiating rates with providers. At least an intermediate level of knowledge of claims processing systems and guidelines. 3+ years of experience in performing network adequacy analysis. Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others. Strong interpersonal skills, establishing rapport and working well with others. Strong customer service skills.
Required Schooling / Training
- Undergraduate degree.
Who is the client company
- Concern about hospital & health care services.
- If you are interested in this position, send your resume to email@example.com