Provider Contracting Executive

The Provider Contracting Executive initiates, negotiates and executes contracts with IPA's, PHO's, multi-state hospital systems and/or national ancillary providers. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from significant to substantial. Our Department of Defense Contract requires U.S. citizenship for this position
The Provider Contracting Executive communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms, maintains contracts and documentation within a tracking system. May assist with analysis and recruitment of providers based on network deficiencies, composition and needs. Works with senior executives on the development of functional strategies (often segment specific) and provides recommendations to senior executives on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under nominal supervision. Employs strategic thinking analysis of multiple and variable factors determining the best course of action. Utilizes considerable latitude in determining task objectives and approaches to completing assignments to meet goals and set deadlines. Advanced subject matter expert, highly competent able to work at very high levels in multiple knowledge and functional areas across multiple departments.
Required Qualifications
Bachelor's degree
5+ years of progressive network management experience including extensive contracting with IPA's, PHO's, multi-state hospital systems and national ancillary providers and network administration in a healthcare company
2+ years of project management experience
Extensive provider contracting skills, including contract preparation and implementation, strong financial acumen with proficiency in analysis of rate proposal development
Excellent written and verbal communication skills and experience presenting to varied audiences
Ability to manage multiple priorities in a fast-paced environment
Knowledge of Microsoft Office applications
Preferred Qualifications
Master's Degree
Experience with Value Based and Risk Contracting
Experience with ACO/Risk Contracting
Our Department of Defense Contract requires U.S. citizenship for this position
Additional Information
Scheduled Weekly Hours

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