Contract Negotiation Manager- Behavioral Health
Core
Negotiate, execute, and manage contracts and dispute resolutions with Behavioral Health providers to support network quality, availability, and financial goals.
Role type
Contract Negotiation Manager
Builds
Strategic and value-based contract relationships with single and group Behavioral Health providers
Domain
Healthcare / Behavioral Health / Managed Care
Deliverable
client delivery
Required skills
Managed care network negotiating, contract analysis, dispute resolution, provider recruitment, compensation and pricing development, cost management, network development strategies, claims payment resolution, contract interpretation
Preferred skills
Commercial HMO/PPO product knowledge, Medicare/Medicaid product knowledge, California/Alaska/Arizona regional market knowledge
Technologies
None stated
Responsibilities
Negotiate and execute contracts with Behavioral Health providers; manage contract performance and dispute resolution; recruit providers to meet network targets; collaborate on compensation and pricing models; identify cost-saving initiatives; design and implement network configurations
Seniority
Mid-Senior, hands-on IC
