Senior Provider Network Manager

Develop the provider network through contract negotiations, relationship development, and servicing Focus on contracting and negotiating contract terms Work with complex providers, including large institutional providers, large medical groups, and ancillary providers Support value-based concepts Serve as a key resource for contracting staff Provide mentoring and on-the-job training and development Work independently using judgment and discretion Work on projects impacting the business unit in collaboration with other key areas Serve on enterprise projects around network management Serve as a communication link between professional providers and the company Ensure appropriate distribution of provider specialties in the network Conduct complex negotiations and draft documents Prepare financial projections and conduct analysis Travel to worksites and other locations as necessary Requirements Requires a BA/BS degree Minimum of 5 years of experience in contracting, provider relations, provider servicing Experience should include prior contracting experience Any combination of education and experience providing an equivalent background may be considered Experience in fee schedule development using actuarial models strongly preferred Strong project management skills Comprehensive negotiation skills supporting multi-service lines of business Candidates must reside within a reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law Ability to work Monday-Friday, 40 hours per week, either 8:00 am-5:00 pm or 9:00 am-6:00 pm New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided Core Competencies Demonstrates expertise in contract negotiations and provider relations, with a strong focus on developing provider networks and supporting value-based concepts. Proven ability to mentor and train staff while managing complex projects and conducting financial analysis. Highest-signal resume keywords Contract Negotiation Provider Relations Project Management Financial Analysis Mentoring and Training ATS Optimization Keywords Hard Skills Contracting Fee Schedule Development Actuarial Models Negotiation Skills Financial Projections Soft Skills Relationship Development Judgment and Discretion Communication Skills Certifications & Qualifications BA/BS Degree Industry Keywords Provider Network Value-Based Concepts Multi-Service Lines Provider Specialties Provider Servicing #J-18808-Ljbffr Jobtailor