• Develop and maintain effective multifaceted and strategic provider networks, with complex payment methodologies and alternate funding arrangements.
  
• Engage providers to promote the concept and understanding of patient engagement adherence, quality improvement and cost savings programs.
  
• Lead negotiation and implementation of complex, multifaceted provider contracts.
• Complete negotiations within pre planned reimbursement targets and ensure successful implementation.
  
• Serve as the main point of contact for the provider and coordinate all interactions with assigned provider accounts.
• Build and maintain positive relationships.
  
• Develop and execute ongoing account management and service strategies to meet corporate strategic/financial objectives.
• Utilize consultative skills, industry knowledge, and product knowledge to foster a collaborative approach to quality care, network stability and cost containment.
  
• Provide input and drive innovative development of payment methodologies and provider engagement strategies.
  
• Collaborate with the Director of Provider Network Development to develop communication goals, strategies, and plans.
  
• Responsible for market intelligence oversight, assuring it is being gathered and timely reported, as well as using results to the Companys benefit in contract negotiations.
  
• Responsible for proactive collaboration with other internal departments on resolution of escalated or complex provider network issues, pricing, complaints, grievances or risks.
  
• Engage with the efforts of the network reimbursement/analytics resources to ensure reimbursement is properly maintained and managed; oversight to ensure accurate implementation of complex contracts with hospitals and other key providers and/or vendors.
  

You Have:

• A Bachelors Degree in Business, Finance or a related field; or a minimum of 5 years provider contracting experience to include hospital contracting
  
• A minimum of 3 years progressive contracting experience utilizing financial models and analysis in negotiating complex hospital contracting methodologies with providers
  
• A comprehensive, working knowledge of managed care principles, including risk contracting and value-based contracting
  
• Experience with reimbursement methodologies such as Medicaid capitations/ alternative payment methodologies, Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
  
• A solid team player with a Passion for living and promoting mission, vision and core values
  
• Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena
  
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others