Negotiates, executes, and analyzes contracts with larger and more complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals related to accessibility, quality and financial performance. Manages and facilitates dispute resolution processes to address issues arising from provider contracts, ensuring equitable solutions. Leverages negotiation skills and working knowledge of provider financial issues to optimize contracts and collaborate with large hospitals and health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives and the growth of the provider network Leads contract settlement negotiations, striving to reach mutually beneficial agreements with providers that maintain and enhance the provider network. Implement strategies to enhance and expand the provider network, while ensuring it meets accessibility and quality standards. Aligns provider contracts with financial goals and cost-saving initiatives, ensuring that contracts support the company's financial objectives. Conducts comprehensive reviews and analyses of provider contracts, identifying areas for improvement and optimization. Ensures that all provider contracts adhere to regulatory requirements, maintaining compliance with healthcare regulations. Utilizes working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting decisions. Facilitates leadership, guidance, and mentorship to a team of professionals by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment. Partner cross-functionally with key stakeholders across the organization.
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Job Type
Full-time
Career Level
Manager