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SalaryAssociate Contract Managers are key part of the ongoing management of the CareCentrix provider network and are involved in contracting activities and managing network providers for multiple payers. In this role, you will prepare, analyze, negotiate and maintain contracts for the provider network for the services that CareCentrix provides on behalf of its clients. You will be responsible for the development/fostering of relationships with providers and colleagues to ensure high levels of client interaction and satisfaction. You will also be responsible for participating in the development of the network management strategy which includes aspects of, value-based care, market growth, compliance, and provider experience.
Responsibilities:- Responsible for the direct negotiation of a large portion of CareCentrix provider contracts to achieve strategic goals with a variety of health plans, payers and products (DME, Sleep, Home Infusion, Home Health)
- Manage the negotiation or renegotiation of contracts as appropriate with providers
- Coordinate with relevant internal stakeholders across various departments to ensure contracts align with operational processes (e.g. Legal, Directors of Revenue Cycle and CSC (Staffing).
- Ensure that the contracts, including fee schedules are complete, accurate and timely
- Execute processes required for new providers to join the network
- Identify alternative providers who can service patients when transitioning from one provider to another when a contract termination occurs
- Develop deeper partnerships with key target providers.
- You love negotiations that result in a win-win for both parties.
- You are passionate about fixing health care and believe that one of the best ways to do that is by helping improve the quality and access to care in the home.
- You enjoy getting your hands dirty in operational weeds to help your customers address their needs.
- You enjoy working with teams by building trust, fostering positive relationships and partnering with a diverse group of people.
- Bachelor’s degree in Finance, Business/Economics, Healthcare Administration or related field preferred. Relevant professional experience will be considered in lieu of degree
- Minimum 2 years’ experience in healthcare organization managed care contracting or within health insurance industry (provider relations, provider network development).
- Proficiency in Microsoft Office, including Excel, PowerPoint with an understanding of computer systems and database development and management
- Ability to achieve stretch goals in difficult circumstances
What we offer:
- Competitive Salary: $55000 - $65000 / year plus corporate bonus
- Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match
- Generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more
- Advancement Opportunities, professional skills training, and tuition /exam reimbursement
- PayActiv - access earned income in between pay checks
- Walgreens Discount - receive up to 25% off eligible items
- Great culture with a sense of community
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We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.
