Hybrid Provider Network Management Director – Medicare Network Build

Posted 2 weeks ago

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About the role

  • develops the provider network in Arkansas through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups
  • contracting and negotiating contract terms for Medicare, Medicaid, and ACA programs
  • serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning
  • serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process
  • typically serves as lead contractor for large scale, multi-faceted negotiations
  • conducts the most complex negotiations
  • prepares financial projections and conducts analysis

Requirements

  • Requires a BA/BS degree
  • minimum of 8 years’ experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing
  • experience must include prior contracting experience
  • Medicare network contracting/reimbursement methodology strongly preferred
  • Medicaid and Commercial network contracting preferred
  • experience building networks with integrated delivery health systems strongly preferred
  • knowledge of Value-Based Contracts preferred
  • Contraxx, Facets, SPS preferred
  • experience using financial models and analysis to negotiate rates with providers strongly preferred

Benefits

  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k) + match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Job title

Provider Network Management Director – Medicare Network Build

Job type

Experience level

Lead

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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