Provider Network Manager - Healthcare Medicare
Job Posting for Provider Network Manager - Healthcare Medicare at Professional Management Enterprises
Description
This role is remote to Indiana. We are looking for a dynamic individual to join our team providing support to the upcoming LTSS project in the state of Indiana.
- Develops the provider network through contract negotiations (language and rates), relationship development, and servicing. The primary focus of this role is contracting and negotiating contract terms.
- Typically works with less-complex to complex providers.
- Providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health system, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required.
- Contracts may involve non-standard arrangements that require a moderate level of negotiation skills.
- Value based concepts understanding.
- Fee schedules can be customized.
- Works with increased independence and requires increased use of judgment and discretion.
- May work on cross-functional projects requiring collaboration with other key areas.
- Serves as a communication link between professional providers and the company.
- Conducts more complex negotiations and drafts documents.
- Assists in preparing financial projections and conducting analysis as required.
Requirements
- Requires a BA/BS degree and a minimum of 3 years’ experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background.
- Travels to worksite and other locations as necessary.
Salary.com Estimation for Provider Network Manager - Healthcare Medicare in Indianapolis, IN
$80,827 to $108,157
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Job openings at Professional Management Enterprises
Professional Management Enterprises
Indianapolis, IN
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