Contract Negotiation Manager

What you'll do

• Negotiate, execute, review, and analyze provider contracts and resolve disputes or settlements.
• Manage contract performance, recruit providers, and support network development and adequacy.
• Collaborate on provider pricing, reimbursement modeling, cost initiatives, and escalated contract or claims issues.

What they ask for

• At least 5 years negotiating contracts with ancillary providers, facilities, and physician groups, including contract language and rate proposal analysis.
• At least 3 years in provider relationship management or related healthcare roles, with proficient contract management skills.
• Understanding of contract provisions, reimbursement methods, payment policies, provider financial issues, regulatory requirements, and competitor strategies.
• High proficiency with Microsoft Office suite applications and ability to manage multiple negotiations and deadlines.

Nice to have

• Experience with Commercial and Medicare lines of business.
• Working knowledge of Aetna systems and tools or comparable applications; candidates in listed states are preferred.

Pay

$54,300.00 - $119,340.00 USD base salary

Tools

Microsoft Office, Outlook, Word, Excel, Smart Front End, ASD, HRP, MedCompass, RUMBA