Provider Network Manager

🔥 0 minutes ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $78.1k - $144.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Blue Cross of Idaho

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1945

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Insurance • Wellness

Blue Cross of Idaho is a health insurance provider offering a variety of health plans and benefits to individuals and families in Idaho. The company focuses on providing quality healthcare coverage options that cater to the needs of its members, including medical, dental, and wellness programs. With a commitment to community health and wellness, Blue Cross of Idaho aims to make healthcare accessible and affordable for everyone.

📋 Description

• management, operation, direction, organization, and administration of hospital contracts • ensuring network contracts provide cost effective outcomes • developing positive working relationships with contracted hospitals • contracting and negotiating with the most complex providers • auditing and monitoring financial performance of assigned hospitals • analyzing, reviewing, and projecting financial impact of contract arrangements • maintaining effective communication with internal business partners

🎯 Requirements

• Minimum 6 years' provider contract management/network management • provider and hospital reimbursement methodologies • contract language negotiation or relevant experience • Required Education: Bachelor’s degree or equivalent work experience

🏖️ Benefits

• paid time off • paid holidays • community service and self-care days • medical/dental/vision/pharmacy insurance • 401(k) matching and non-contributory plan • life insurance • short and long term disability • education reimbursement • employee assistance plan (EAP) • adoption assistance program • paid family leave program