Contracting Specialist

Ancillary Contracting Specialist

A Few Words About Us - Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

Position: Ancillary Contracting Specialist Level 1

Duration: 6+ Months

Location: Ewing, NJ

Immediate Interview

Major Responsibilities:

• Provides on-going consultation and advice to key physicians or ancillary officials, helps in the generation, evaluation and selection of ideas to address concerns, and assists in the implementation of these ideas.
• Develops a working knowledge of the physicians' or ancillary's strengths, weaknesses, and role within the communities, and makes recommendations relative to the development of negotiation strategies.
• Conducts on-site visits to physicians or specialty vendors to ensure continued satisfaction, and coordinates educational seminars on new products, procedures and policies.
• Reviews and monitors data received from vendors, and recommends action plans as needed on an ongoing basis.
• Participates in the preparation for and negotiation of new physician contracts or renews existing vendor contracts using analysis of cost and utilization data and service/quality reports to ensure quality care and service at efficient prices.
• Demonstrates knowledge, understanding and confirms to the laws regulations and policies that pertain to the organizational units business.

Education/Experience:

• Requires a bachelor's degree in finance, economics or accounting.
• Requires a minimum of 5 years' experience in the health insurance industry.

Additional licensing, certifications, registrations:

• Must have a valid driver's license and access to a car.

Knowledge:

• Requires knowledge of various indemnity and managed care products.
• Requires general knowledge of physician or ancillary reimbursement principles and practices.

Skills and Abilities:

• Requires the ability to utilize a personal computer and applicable software.
• Strong negotiation skills with the demonstrated sales ability to convert prospect to client in addition to demonstrated persuasive skills with carriers.
• Must have effective verbal and written communication skills and demonstrate the ability to work well within a team. Demonstrated ability to deliver highly technical information to less technical individuals.
• Must demonstrate professional and ethical business practices, adherence to company standards, and a commitment to personal and professional development.
• Proven time management skills are necessary. Must demonstrate the ability to manage multiple priorities [or tasks], deliver timely and accurate work products with a customer service focus, and respond with a sense of urgency as required. Demonstrated ability to work in a production focused environment.
• Proven ability to exercise sound judgment and strong problem solving skills.
• Proven ability to ask probing questions and obtain thorough and relevant information.
• Must be client service focused with effective ability to empathize.
• Needs to demonstrate willingness to cross-train, and be cross-trained, in other roles/duties.
• Must be detail oriented with strong organizational and data processing skills. Proven ability to follow detailed instructions is essential, along with proven problem solving skills.
• Proven analytical, research and problem solving skills a must.
• Must demonstrate the ability to learn quickly and apply learning to new situations.
• Proven ability to influence without authority.