Director of Contracts and Network Development
Always Compassionate Health•Melville, NY
•Onsite
About The Position
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business.
Requirements
- Ability to handle multiple tasks.
- Ability to problem solve.
- Computer literate in fiscal management and other database programs.
- Demonstrate trustworthiness and discrete disposition in carrying out regulatory tasks.
- Excellent written and oral communication skills.
- Possess excellent interpersonal skills and ability to work well with others.
Nice To Haves
- Master's degree preferred
Responsibilities
- Collaborate with healthcare providers and insurance companies to negotiate contract terms, reimbursement rates, and other key aspects of the agreement. Involves reviewing and analyzing contractual language, identifying areas for negotiation, and working towards a favorable outcome for all parties involved.
- Identify and recruit healthcare payors to have Always Compassionate Health become a network provider to include all available services under its portfolio from personal care services to home infusion clinical services.
- Oversee the implementation, recredentialing and maintenance of contracted agreements. One must ensure compliance with contractual terms and conditions, monitor provider performance and adherence to quality standards, and address any issues or disputes that arise during the contract period.
- Analyze and evaluate financial data related to managed care contracts, including fee reimbursements, reimbursement methodologies, and utilization patterns. Identify opportunities for revenue enhancement, process improvements, and make recommendations based on the analysis.
- Foster positive relationships with healthcare payers and government entities. Serve as the main point of contact for inquiries, concerns, and dispute resolution. Collaborate with internal departments to address provider-related issues and ensure smooth operations.
- Stay up to date with applicable laws, regulations, and industry trends related to contracting. Ensure compliance with state and federal regulations, accreditation standards, and contractual obligations.
- Develop and implement performance metrics and reporting mechanisms to evaluate the effectiveness of payer contracts.
Benefits
- Career growth
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What This Job Offers
Job Type
Full-time
Career Level
Director
