Contract Negotiator III
Core
Recruit and develop a network of physician, hospital, and ancillary service providers to sign network participation agreements in accordance with corporate, health plan, and state guidelines.
Role type
Senior contract negotiator (healthcare network)
Builds
Provider network and standard contracts for claims adjudication
Domain
Healthcare administration and provider relations
Required skills
Contract negotiation, provider relations, contract analysis, network development, claims adjudication configuration, database management, internal coordination
Preferred skills
Knowledge of State and Federal health care programs (Medicaid, Medicare), healthcare administration background
Technologies
Contract management systems, provider databases
Responsibilities
Recruit and develop network for a region, lead assigned recruitments to ensure complete and accurate standard contracts, facilitate provider set-up and contract configuration, initiate contact and identify potential providers by geographic and specialty needs, coordinate with internal departments to maintain contract compliance
Seniority
Mid-Senior level, hands-on IC