Director Health Care Provider Network

Orlando, FL 32801 US

Job ID: 2644 Position Type: Corporate - Regional Jobs
Director, Health Care Provider Network

The Director Provider Network Negotiator will negotiate fee-for-service hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network and to help expand and develop provider network. Analyzes market data and financial models.The Director, Provider Network Negotiator prepares and negotiates provider contracts. The Director, Provider Network Negotiator develops and expands provider participation within the network, maintains provider participation within the network. The Director, Provider Network Negotiator also monitors provider performance; implements corrective action plans. The Director, Provider Network Negotiator identifies current issues and probable future issues; guides staff through resolution. Documents contracts; updates contracts as changes occur.

Bachelors Degree Required
Masters Degree Required
Must have experience working inside a hospital negotiating with payors
Hospital Experience/ Managed Care Experience Required

If you have five (5) years of progressive provider network contract negotiation experience or equivalent combination of education and experience required.
Experience in a healthcare management environment including provider contracting, servicing and benefit interpretation.
Two (2) years supervisory experience preferred. Skills & Knowledge Strong project management skills
Excellent negotiation skills
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Leadership/management/ motivational skills
Analytical and interpretive skills
Strong organizational skills

Juli Van Der Meulen

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