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Manages contract performance and drives the development and implementation of value-based contract relationships in support of business strategies. Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives. Represents company with high visibility constituents and promotes collaboration with internal partners.
Job Responsibility:
Manages contract performance and drives the development and implementation of value-based contract relationships in support of business strategies
Recruits providers as needed to ensure attainment of network expansion and adequacy targets
Accountable for cost arrangements within defined groups
Collaborates cross-functionally to manage provider compensation and pricing development activities
Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives
Represents company with high visibility constituents
Evaluates, helps formulate, and implements the provider network strategic plans
May optimize interaction with assigned providers and internal business partners
Requirements:
3 + years experience with provider contract negotiation or provider relations experience
Must reside in North Carolina or South Carolina
In-depth knowledge of the managed care industry and practices, as well as a strong understanding of strategies, practices, and financial/contracting arrangements
Must possess critical thinking, problem resolution and interpersonal skills
Bachelor's degree and relevant training or work experience
Nice to have:
Ability to forge meaningful, long-lasting relationships with providers
Knowledge of Medicare programs and related subject matter
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