Provider Contract Manager

🕒 vor 10 Tagen

🐊 Florida, Illinois, +1 weitere Bundesländer – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🤠 Texas – Remote

⏰ Vollzeit

🟠 Senior

🔴 Experte

👔 Manager

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Paradigm

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

Gegründet 1991

☁️ SaaS

💰 Private equity im 2025-08

SaaS

Paradigm ist ein Unternehmen, dessen öffentlich zugängliche Webanwendung nur die Nachricht zurückgab: "Anwendung wird geladen... Ihr Webbrowser muss JavaScript aktiviert haben, damit diese Anwendung korrekt angezeigt wird. " Keine zusätzlichen Informationen über seine Produkte, Dienstleistungen oder den Markt wurden aus dem bereitgestellten Inhalt verfügbar gemacht. Aufgrund der Anwesenheit einer Webanwendung, jedoch ohne weitere Details, können keine spezifischen Produkte, Branchen oder Kunden aus dem bereitgestellten Input bestimmt werden.

Beschreibung

• Grow and enhance Paradigm’s Provider Network by negotiating contracts • Actively manage a team that involves mentoring/coaching the team • Monitor provider network performance and growth • Focus on growth, efficiency and performance of underdeveloped network segments/geographic locations • Directly manage, provide leadership and mentoring to any direct reports • Maintain accurate and up-to-date provider data in organization’s System • Assist with the enforcement of departmental quality assurance processes and procedures • Conduct regular reviews and audits of the provider network to ensure accurate data • Conduct and coordinate provider recruitment efforts • Utilize proprietary company information/programs to identify provider prospects • Recruit and contract with Provider’s • Foster and maintain productive professional relationships with Paradigm providers • Prepare written reports, correspondence, presentations, orientation materials, and other documentation • Perform research and analysis related to Provider network requirements • Conduct market research to identify gaps in the provider network • Facilitate the contracting process with Providers

🎯 Anforderungen

• Minimum of 7-10 years of contracting experience in the healthcare industry, specific to provider contracting of physicians, surgical facilities and ancillary services. • Minimum of 4-5 years of supervisory experience in managing a team of individuals that perform physician, surgical facility and ancillary services contracting. • Knowledgeable in interpreting and assessing CPT, HCP, DRG and Revenue codes. • Experience with Medicare fee schedules, Work Comp fee schedules, UCR and Billed Charge reimbursement methodologies. • College degree preferred. High school diploma or equivalent acceptable with commensurate experience. • Exceptional communication and telephone skills required, as well as a great deal of patience, understanding and tact. • Possess a high level of self-confidence and persistence; maintain an assertive approach in dealing with providers. • Must possess excellent organizational skills and ability to multi-task effectively. • Demonstrate ability to prioritize heavy workload independently with minimal supervision. • Proficient computer and internet skills; familiarity with Microsoft applications required. • Will develop in-depth knowledge of department and company internal workflows, including but not limited to individual jurisdictional statutes, procedures, and negotiating protocols. • Inside sales experience a plus. • Bilingual (English/Spanish) a plus. • Workers’ Compensation knowledge required. • Group Health knowledge required.

🏖️ Vorteile

• Complying with Paradigm Information Security requirements and policies • Safeguarding Paradigm or Paradigm related passwords • Notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management