Ancillary Contract Manager

Emploi pas sur LinkedIn

🕒 il y a 1 mois

🏖️ New Jersey – Distant

🏖️ New Jersey – Remote

💵 €60 000 - €65 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

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Medlogix

Site WebLinkedInTous les Emplois

201 - 500 employés

⚕️ Assurance santé

🤝 B2B

💰 Private Equity Round en 2017-06

Healthcare Insurance • B2B • Workers Compensation

Medlogix est une entreprise spécialisée dans la fourniture de services médicaux complets, y compris la compensation des travailleurs, les services médicaux pour l'automobile et les services de santé de groupe. Ils offrent des systèmes de référence en ligne et des solutions d'eFacturation pour rationaliser la gestion des réclamations médicales. Axée sur la technologie, Medlogix utilise des plateformes innovantes telles que MyMedlogix™ et MedlogixU™ pour améliorer ses services et garantir des expériences client exceptionnelles.

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

🎯 Exigences

• 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.