People. Passion. Purpose.

Overall Purpose:

The Network Contracting Manager is responsible for developing, negotiating and managing contractual, legal and financial arrangements with providers that ensure our patients have superior access to the highest quality, cost-effective providers of healthcare services.

Education and Experience:

• Bachelor’s Degree preferred or in process of completion or equivalent experience.
• Must have a minimum of five years of specific work experience in managed care contracting to include network expansion projects, hospitals, specialty physician, and ancillary contracting.
• Must be well versed in CMS reimbursement and capitated, per visit, per diem, DRG, APC, and fee for service methodologies.
• Must have national payer contracting negotiation experience.

Knowledge, Skills and Abilities:

• Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy.
• Excellent verbal and written skills.
• Ability to interact and communicate with individuals at all levels of the organization and external parties.
• Demonstrated knowledge of variety of computer software applications in word processing, spreadsheets, database and presentation software (Word, Excel, Access, PowerPoint)
• Work requires continual attention to detail in composing, typing and proofing contracts.
• Demonstrated ability to create applicable contract language and have taken college level courses in writing contracts.
• Ability to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands.
• Excellent planning and coordinating skills.
• Ability to travel. Travel will be required to engage with potential clients, develop relationships with physicians, clinical teams, etc. and overall build the organization

Essential Functions:

• Responsible for clinic ancillary contracting.
• Responsible for overseeing new network expansions and future opportunities.
• Acts as a liaison for various contracting projects for hospitals, ancillary, primary care physicians, and specialists.
• Coordinates managed care contracting for acquisitions and networks.
• Coordinates and produces Monthly Network Contracting Reports.
• Oversees variety of Network Contracting processes.
• Applies approaches and methodologies to accomplish project deliverables, such as analysis, documentation, and training.
• Handles confidential and non-routine information.
• Delivers assigned projects on time and compliant to applicable state and federal regulations. Assure project milestones and deliverables are met.
• Organizes and prioritizes large volumes of information.
• General administrative duties.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)