Network Contract Manager - WA

A company is looking for a Healthcare Provider Ancillary Network Contract Manager for the West Region. Key Responsibilities: Manage unit cost budgets, target setting, performance reporting, and financial models Guide the development of competitive provider networks for unit cost performance and trend management Evaluate and negotiate contracts in compliance with company standards and guidelines Required Qualifications: 4+ years of experience in a network management-related role, such as contracting or provider services 3+ years of experience in fee schedule development using actuarial models 3+ years of experience using financial models and analysis for provider rate negotiations 3+ years of experience in performing network adequacy analysis In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)

Feb 19, 2025 - 16:23

A company is looking for a Healthcare Provider Ancillary Network Contract Manager for the West Region. Key Responsibilities: Manage unit cost budgets, target setting, performance reporting, and financial models Guide the development of competitive provider networks for unit cost performance and trend management Evaluate and negotiate contracts in compliance with company standards and guidelines Required Qualifications: 4+ years of experience in a network management-related role, such as contracting or provider services 3+ years of experience in fee schedule development using actuarial models 3+ years of experience using financial models and analysis for provider rate negotiations 3+ years of experience in performing network adequacy analysis In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)