Skills & Competencies for Provider Contracting Manager

Provider Contracting Manager job profile

JOB SUMMARY for Provider Contracting Manager

Manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network.

JOB RESPONSIBILITIES for Provider Contracting Manager

Responsible for negotiating with facilities joining the health network and setting rates. Oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff.

Provider Contracting Manager SALARY RANGE

BASE 50%
$114,401
TOTAL 50%
$125,617
Job Level
M02
Job Code
HC07000513
Education/Degree
Bachelor's Degree
Reports To
Head of a Unit/Department

Provider Contracting Manager Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Provider Contracting Manager skill and competencie below to view definitions.

8 general skills or competencies (Job family competencies) for Provider Contracting Manager

1 Job Family Competencies – Financial Management
Proficiency Level -2
Skill definition-Handling the company's finances while applying management principles to the financial assets.
Level 1 Behaviors
(General Familiarity)
Documents financial management practices in addition to effective risk management.
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Level 2 Behaviors
(Light Experience)
Explains the use of all financial management systems within your organization.
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Level 3 Behaviors
(Moderate Experience)
Partners with business leaders to influence positive financial management.
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Level 4 Behaviors
(Extensive Experience)
Directs daily financial management activities and operations.
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Level 5 Behaviors
(Mastery)
Establishes enhanced reporting processes and tools to increase the effectiveness of financial management.
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2 Job Family Competencies – Contract Management
Proficiency Level -3
Skill definition-Managing agreements, from their creation to execution by the chosen party and the eventual termination of the contract.
Level 1 Behaviors
(General Familiarity)
Explains the importance of legal and financial implications in contract management.
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Level 2 Behaviors
(Light Experience)
Prepares all the necessary documentation for contract negotiations.
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Level 3 Behaviors
(Moderate Experience)
Participates in contract reviews to achieve corporate risk management objectives.
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Level 4 Behaviors
(Extensive Experience)
Monitors legal and regulatory requirements for the performance of contract management.
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Level 5 Behaviors
(Mastery)
Develops overall solutions to address strategic contract issues.
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3 Provider Contracting Manager - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Provider Contracting Manager
Proficiency Level - 4
5 Competency for - Provider Contracting Manager
Proficiency Level - 5

9 soft skills or competencies (core competencies) for Provider Contracting Manager

1 Core Competencies – Budgeting
Proficiency Level -2
Skill definition-Applying specific policies, tools and practices to plan and prepare projected revenues, expenses, cash flows, and capital expenditures.
Level 1 Behaviors
(General Familiarity)
Describes the procedures for capital and expense allocation and budgeting.
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Level 2 Behaviors
(Light Experience)
Gathers data from financial statements to help create budget plans and improve budgeting strategies.
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Level 3 Behaviors
(Moderate Experience)
Implements strategic operational efficiencies and techniques for conducting successful budgeting.
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Level 4 Behaviors
(Extensive Experience)
Evaluates past decisions on budgetary considerations to improve the budgeting process.
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Level 5 Behaviors
(Mastery)
Establishes operating procedures to guide the consistency and repeatability of our budgeting processes.
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2 Core Competencies – Planning and Organizing
Proficiency Level -3
Skill definition-Managing and prioritizing resources and workloads by creating well-organized plans to attain organizational goals and objectives.
Level 1 Behaviors
(General Familiarity)
Documents best practices in planning and organizing work to address important tasks.
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Level 2 Behaviors
(Light Experience)
Discusses the positive and negative outcomes of planning and organization in the workplace.
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Level 3 Behaviors
(Moderate Experience)
Helps set up new practices to anticipate and address the needs of planning and organization initiatives.
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Level 4 Behaviors
(Extensive Experience)
Facilitates the adoption of advanced tools to streamline the process of planning and organization.
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Level 5 Behaviors
(Mastery)
Develops best practices in planning and organizing activities to improve organizational efficiency.
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3 Provider Contracting Manager - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Provider Contracting Manager
Proficiency Level - 4
5 Competency for - Provider Contracting Manager
Proficiency Level - 5

Summary of Provider Contracting Manager skills and competencies

There are 0 hard skills for Provider Contracting Manager.
8 general skills for Provider Contracting Manager, Financial Management, Contract Management, Contract Negotiation, etc.
9 soft skills for Provider Contracting Manager, Budgeting, Planning and Organizing, Coordination, etc.
While the list totals 17 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Provider Contracting Manager, he or she needs to be proficient in Budgeting, be skilled in Planning and Organizing, and be skilled in Coordination.

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