Provider Contract Manager
NaphCare
Overview NaphCare is currently seeking an experienced Provider Contract Manager to join our team at the Corporate Office located in Birmingham, AL. NaphCare is a family owned, medical technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 30 years. Come join our team of over 6000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do. NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare as you use our cutting-edge resources, including our award-winning electronic operating system. NaphCare Full Time Benefits: Prescriptions free of charge through our health plan Health, dental & vision insurance that starts day one ! Lowest Cost Benefits! $44 for single, $105 for family! Employment Assistance Program (EAP) services 401K and Roth with company contribution that starts day one! Tuition Assistance Referral bonuses On-site education Free Continuing Education! Term life insurance at no cost to the employee Generous paid time off & paid holidays NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up to date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing. With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different. We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership. Responsibilities Responsibilities for the Provider Contract Manager: Negotiates, administers, and executes hospital and physician contracts in accordance with company standards in order to maintain and enhance networks to ensure we meet and exceed quality and financial goals. Coordinate bid proposals, which includes community health care research and fiscal analysis. Responsible for building and maintaining hospital and physician networks, which includes negotiating reimbursement rates, market research for healthcare services across the country, cold calling and contract language review Responsible for contracting and operational issues for the life of the contract. Develop strong relationships with executive teams of our network hospitals and the providers affiliated with our network hospitals in order to achieve network growth and cost targets. Qualifications Qualifications for Network Manager: Ability to work independently and effectively multi-task in a fast-paced, result-oriented environment and exercise a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives. Must have excellent written, verbal, negotiating, and interpersonal skills Be customer-service oriented Have the ability to problem solve Be well-organized and work and perform independently with hospital executives in all negotiations Bachelor's degree required; Master's degree in health care administration or business administration preferred. 5+ years of healthcare experience required. 3+ years of experience in contract negotiation and provider contract language required. Understanding of Medicare Parts A and B reimbursement required. Ability to interact positively with outside clients, coworkers and supervisors. Ability to travel up to 10-15% We know you may have questions before applying. To speak to a recruiter directly, email your questions and/or resume to View email address on click.appcast.io with the position and location you're interested in. Equal Opportunity Employer: disability/veteran NaphCare
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