Provider Contracting Manager

Job not on LinkedIn

🔥 1 minute ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $84k - $94k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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ZING. Enamel Whitening. Toothpaste, but magic.

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2023

💄 Beauty

🛒 Retail

🧘 Wellness

Beauty • Retail • Wellness

ZING is a toothpaste company that specializes in enamel whitening with a unique formulation that promises to dissolve stains, repair enamel, and reduce sensitivity. Proudly made in the UK, ZING's products are vegan, cruelty-free, and 100% recyclable. Their toothpaste is designed to be enjoyable to use while providing effective dental care, with a focus on natural ingredients and sustainability.

📋 Description

• Manage provider contracting and network development for all lines of business • Develop, execute, and maintain a provider network strategy • Continuously evaluate the network to ensure cost-effective, optimal functionality • Work with Sales & Marketing and Health Services to develop actions meeting market growth and medical cost targets • Contract and negotiate with hospitals, FQHCs, physicians, and ancillary providers for all product lines • Conduct provider orientations and ongoing education for network providers • Explain fee-for-service and risk contracts • Manage physician networks by developing and maintaining relationships within a specific geographic area • Respond to providers’ contract requests and inquiries • Analyze network gaps and identify providers to contract • Review and amend provider contracts when necessary • Evaluate contracted networks to ensure functionality • Research and develop relationships with non-contracted providers • Collect credentialing and required documents for newly contracted providers • Perform special projects as assigned

🎯 Requirements

• Medicare Experience Preferred • 3 - 5 years of experience in a Managed Care environment, Network Management or Provider Services • Hospital contracting experience or related Network Management position with the ability to perform the level of duties of the position • Demonstrated negotiation, analytic, and problem-solving skills • Experience or knowledge of provider reimbursement methods and claims processing systems • Verbal and written communications skills to include interpersonal and presentation skills • Ability to work effectively and independently • Demonstrated ability to effectively manage multiple priorities