Provider Contracting Manager manages contracting activities for a healthcare provider network. Oversees and monitors a contracts database system for a healthcare provider network to track, monitor, and record contract data. Being a Provider Contracting Manager assists in negotiating with facilities joining the health network and setting rates. Implements reporting standards to ensure consistent recording of contract data and ensure compliance with regulatory requirements. Additionally, Provider Contracting Manager analyzes various rate scenarios to forecast and evaluate rate setting strategies and identify trends. Requires a bachelor's degree. Typically reports to a director. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
ABOUT US
Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources.
Position Summary
Assist in development and maintenance of a comprehensive network of long-term care, ancillary, primary care provider, specialty physician, and hospital providers for Florida Community Care/ Independent Living System programs and products. Negotiate contracts, and act as point of contact for ongoing contractual and provider service issues.
Essential Functions
Education and Experience
Required Skills
EEO STATEMENT
In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace. Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.