Contract Manager
--Remote
Job ID: 2022-13664
Type: Regular Full-Time
# of Openings: 1
Category: Provider Management
CareCentrix
Overview
In this role, you will be responsible for the development/fostering of relationships with providers and colleagues to ensure high levels of client interaction and satisfaction. You will also be responsible for participating in the development of the network management strategy which includes aspects of technology product, utilization management, value-based care, membership growth, marketing, compliance, and member and provider experience.
Responsibilities
In this role, you will:
- Assist in facilitating provider meetings and forums as appropriate or per compliance and contractual guidelines.
- Partner with departments including claims and UM teams to address, resolve and communicate operational issues raised by providers
- Coordinate with relevant internal stakeholders across various departments to ensure contract aligns with operational processes
- Identify alternative providers who can service patients when transitioning from one provider to another when a contract termination occurs
- Execute processes required for new providers to join the network
- Identify areas for improvement within the contracts based on Senior Contract Manager oversight
- Track the overall performance of their contracts, collaborating with the various business offices regarding administrative issues and facilitating the resolution of any payment or contract compliance issues.
- Manage the negotiation or renegotiation of contracts as appropriate within designated state(s) or region
- Be the external face of CareCentrix to the providers assigned to you
- Develop deeper partnerships with key target providers in the region
- Work with providers to develop strategies to improve coverage with high quality, cost efficient providers that service our health plan members timely
- Meet with providers in person and/or virtually as needed
Qualifications
You should get in touch if:
- You have a Bachelor's degree (desired) or minimum of 4 years experience in managed care contracting or provider relations.
- You understand financial analysis and can derive written summaries from data.
- You enjoy working with teams by building trust, fostering positive relationships and partnering with a diverse group of people.
- You have the ability to present in front of a group.
- You have proficiency in Microsoft Office, including Excel, PowerPoint
- You have proven track record in leading meetings, creating agendas and achieving goals.
What we offer:
- Salary Range: $60000 - 85000 /year plus bonus incentives
- Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
- Generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more.
- Bonus Incentives, advancement opportunities, professional skills training, and tuition Reimbursement.
- Great culture with a sense of community.
CareCentrix maintains a drug-free workplace. #IDCC We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.
Please see job description
PI182659446
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