Physical Health PN Contract Manager

Job not on LinkedIn

October 4

🌲 North Carolina – Remote

Although this job is listed in North Carolina, this company may be open to hiring remote in other states.

💵 $68k - $88.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Vaya Health

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Healthcare Insurance • Healthcare • Social Impact

Vaya Health is a North Carolina-based organization that manages services for individuals with behavioral health issues, including mental health and substance use disorders, intellectual and developmental disabilities (I/DD), and traumatic brain injuries (TBI). The organization provides Medicaid services tailored for these populations, focusing on a person-centered approach that connects members to the necessary care and support for their unique health and wellness goals. Vaya Health emphasizes collaboration across various care areas to ensure comprehensive support for its members, fostering healthier communities across the region.

501 - 1000 employees

Founded 1972

⚕️ Healthcare Insurance

🌍 Social Impact

📋 Description

• Identify and contract with physical health providers to develop the physical health provider network. • Evaluate and negotiate contracts in compliance with company templates and standards. • Initiate, negotiate, and execute provider contracts and agreements for Vaya Health. • Maintain strong business relationships with Health Systems and ensure appropriate distribution of provider specialties. • Advise executives to develop functional strategies on matters of significance. • Facilitate provider education and training to increase provider familiarity with Vaya’s systems and strategies. • Work with provider organizations and community stakeholders to implement new programs.

🎯 Requirements

• Bachelor’s degree in Public Administration, Business or Human Services required. • Master’s degree preferred. • Must have 2-5 years of relevant network management experience including contracting with Healthcare Providers and network administration in a healthcare company. • Extensive provider contracting skills, including contract preparation and implementation, financial analysis, and rate proposal development preferred. • Experience with Medicaid and Value Based Contracting utilizing financial modeling in making rate decisions preferred.