Ancillary Contract Manager

Vaga não está no LinkedIn

🕒 Abril 23

🏖️ New Jersey – Remoto

🏖️ New Jersey – Remote

💵 $60.000 - $65.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

Candidatar-se

Encontrar Vagas Remotas Similares

Receber Emails de Vagas Remotas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Medlogix

SiteLinkedInTodas as Vagas

201 - 500 funcionários

⚕️ Seguro de Saúde

🤝 B2B

💰 Private Equity Round em 2017-06

Healthcare Insurance • B2B • Workers Compensation

A Medlogix é uma empresa especializada em fornecer serviços médicos abrangentes, incluindo compensação de trabalhadores, serviços médicos automotivos e serviços de saúde em grupo. Eles oferecem sistemas de encaminhamento online e soluções de faturamento eletrônico para simplificar o gerenciamento de reclamações médicas. Com foco em tecnologia, a Medlogix utiliza plataformas inovadoras como MyMedlogix™ e MedlogixU™ para aprimorar seus serviços e garantir experiências excepcionais aos clientes.

Descrição

• Responsible for the overall development and maintenance of the ancillary and facility PPO network contracts • Contracting and rate negotiation functions • Requires strong negotiation skills • Understanding of healthcare contracting and compliance • Foster and manage relationships to improve network efficiency and access for clients • Establish targets for recruitment • Rate negotiations • Contract language negotiations • Establishing and maintaining relationships • Provider education • In-person visits and follow-up • Develop strategy for network expansion and maintenance • Identify network needs in both new and existing service areas • Investigate options, targets, and recruits • Act as liaison between ancillary/facility and appeal department • Negotiate rates and contract language for execution • Assist with credentialing and recredentialing process • Renegotiate/renew existing contracts • Assist with development of Request for Proposals and contract updates • Support Client Services and Sales teams

🎯 Requisitos

• Minimum of five years' experience in health care • Minimum of three years in provider/payor contracting • Knowledge of the hospital, ancillary and physician communities • Experience interacting with providers in practice or a managed care organization • Knowledge of provider recruitment and contracting • Knowledge of reimbursement methodologies for providers, ancillaries and hospitals • Excellent verbal, written and organizational skills • Working knowledge of MS Outlook, Word, Excel • Valid driver’s license • Self-motivating and ability to work independently and within a team.