- Remote, United States
- Remote
- Full-time · Mid
- $62K–$107K per year
- 6+ years
As a professional within the network contracting and administration team, the incumbent will contribute to the development and maintenance of provider networks. This position is accountable for performing provider and network analysis, evaluating provider reimbursement, and negotiating provider contracts in accordance with corporate strategy.
Compensation
Grade E3: Minimum $62,400 - Maximum $106,929
Responsibilities
- Establishes and maintains network adequacy for assigned provider types, regions and/or lines of business
- Analyzes, develops, and proposes formal provider reimbursement recommendations within approved budgets and according to health plan strategies
- Identifies, investigates, and analyzes issues and questions
- Effectively prepares and presents information, findings, and recommendations to internal and external stakeholders
- Serves as liaison with assigned stakeholders to identify and coordinate provider network contract and administration work items
Requirements
- Bachelor’s degree in Health Care Administration or relevant field
- Nice to have: Understanding of medical care delivery
- Nice to have: Industry trends analysis
- Nice to have: Regional market dynamics understanding