Director Provider Networks Reimbursement
Orlando, FL 34748 US
If you have hospital-based experience, ACO, Populations Health/Value-Based Contracting experience working with payors, this is the perfect opportunity for you!
Work for a facility that truly believes team members are the greatest assets, so they strive to provide a very competitive compensation and benefits package. By utilizing the resources available, they ensure that team members are compensated for the rewarding and superior service they provide to our patients and each other.
The Director Provider Network Negotiator for this Health Care System 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. Prepares and negotiates provider contracts. Develops and expands provider participation within the network. Maintains provider participation within the network. Monitors provider performance; implements corrective action plans. Identifies current issues and probable future issues; guides staff through resolution.
Documents contracts; updates contracts as changes occur.
Experience five (5) years of progressive provider network contract negotiation experience or equivalent combination of education and experience required.
Experience in healthcare management environment including provider contracting, servicing and benefit interpretation within a Hospital.
Two (2) years supervisory experience. 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
Masters Degree Required
To Learn More Contact
Juli Van Der Meulen