Ancillary Contract Manager

Job not on LinkedIn

🕒 April 23

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $60k - $65k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Medlogix

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

🤝 B2B

💰 Private Equity Round on 2017-06

Healthcare Insurance • B2B • Workers Compensation

Medlogix is a company that specializes in providing comprehensive medical services, including workers' compensation, auto medical services, and group health services. They offer online referral systems and eBilling solutions to streamline the management of medical claims. With a focus on technology, Medlogix employs innovative platforms like MyMedlogix™ and MedlogixU™ to enhance their services and ensure exceptional client experiences.

📋 Description

• 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

🎯 Requirements

• 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.