Provider Contracting Manager jobs in Delaware

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. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. 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. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

B
ANALYST PROVIDER COMP AND CONTRACTING - BEEBE MEDICAL GROUP
  • Beebe Healthcare
  • Lewes, DE FULL_TIME
  • Why Beebe?

    Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.

    Overview

    Provide compensation support and analysis for BMG Leadership, Physician Compensation Committee, Provider Recruitment, and other leaders as needed. Take leadership role in the enhancement, development, documentation, and communication of identified variances by managing comprehensive analysis of data. Understand the causes of financial & clinical trends and anomalies. Articulate opportunities to internal and external audiences, including senior executives. Implement solutions and track and monitor progress.

    This role is key in supporting BMG leadership and partnering with multidisciplinary teams.

    Responsibilities

    Compensation & Contracting

    Assists in maintaining market competitive compensation programs and pay practices by gathering information regarding current compensation practices, such as base salary rates, production rates, administrative rates, and other pay programs. Analyzes the information by comparing market and/or internal equity.

    Assists in determining the financial impact on Beebe Medical Group. Delivers recommendations to the Physician Compensation Committee. Advises Leaders and Providers on compensation philosophy and practices.

    Provide analysis and guidance for pay decisions and policy interpretation.

    Reviews Physician contracts to ensure compensation is processed correctly and that all pay increases are accurately applied in the HRIS system and production calculations.

    Participates in annual salary surveys from a wide variety of outside consulting groups and reports data findings and makes recommendations for change.

    Participates in HR and information systems management and serves as a liaison, super user, and resource for designated HR responsibilities.

    Helps develop Compensation guidelines and performs structure maintenance to ensure compliance with contracts and rates. Maintains compensation dictionaries regarding base salary pay, production pay, administrative pay, call pay, etc.

    Provides support to payroll team and acts a resource for physician and APP compensation.

    Reviews calculations and spreadsheets for accuracy and completeness.

    Identifies and prioritizes information needs, research and consults compensation and leadership team for best practice solutions, compiles and organizes information, performs data analysis and visualizations, and presentations with BMG Leadership.

    Creates a variety of reports for internal and external customers. Compiles and analyzes data to prepare information for studies/surveys, regulatory compliance reports, auditors, accreditation surveys and other special requests. Assists in the creation of monthly reports and financials for month-end reporting and financial accruals.

    Has basic and developing knowledge of federal, state, and local compensation laws and regulations to ensure compliance. Supports the annual Fair Market Value analysis of physician compensation and understands and helps ensure compliance to federal Start, Anti-Kickback, and other laws and regulations that deal with physician compensation.

    Builds awareness and knowledge base of current trends in compensation technology trends, compensation legislative activity and health care/industry trends which may impact strategic objectives.

    Collaborates with Provider Recruitment and Legal to finalize contracts and serve them up to BMG Leadership to share with candidates.

    FP&A

    Partner with BMG Leadership and Directors to support development of short and long-term financial objectives utilizing analytics and other resources

    Collaborate with Decision Support and Finance to leverage analytics as Subject Matter Expert for recommending contractual improvements to achieve bottom line targets

    Assist with developing and refining BMG financial metrics and data validation

    Support financial reporting and monitoring of revenues, expenses, and cost-saving initiatives, communicating impact and trends to BMG Leadership

    Partner with financial stakeholders to support BMG Leadership's oversight and understanding of internal and external financial trends that impact operations

    Investigate variances and derive solutions to cost increases and quality issues

    Perform cost/benefit analysis

    Perform statistical analyses and explain analyses to non-technical audiences

    Identify trends in expenses, utilization, medical quality, and other areas

    Leverage knowledge of financial, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial performance

    Meet deadlines and turnaround times (these deadlines and turnaround times may require the employee to work until the project is completed)

    Ad Hoc Responsibilities:

    Performs related duties as required

    Competencies Skills

    Essential:Clear Communication Skills Both Written And VerbalKnowledge Of Basic Computer Programs Able To Keep Confidential Information Regarding Patients, Team MembersAble To Withstand Crisis SituationsHas Skills To Provides Customer Service To Patients, Team Members And VisitorsExperience With Excel, Power Point, Word, Visio, Etc.

    Credentials

    Education

    Essential:Bachelor's Degree in related field

    Other Information

    Required

    Bachelor's degree in healthcare-related field (Ex: healthcare or business management, accounting, finance, economics, or related field)

    2-5 years of relevant experience

    Ability to manage multiple tasks and projects, pay attention to detail

    Excellent planning, communication, organizational, analytical, and mathematical abilities

    Ability to interpret and summarize results from analyses in a timely and meaningful way

    Ability to effectively approach problem solving

    Starting at

    USD $66,206.40/Yr.
  • 15 Days Ago

A
Cleaner
  • Aware Manager
  • Wilmington, DE FULL_TIME,PART_TIME
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • 23 Days Ago

1
Associate Director, Internal Communications
  • 10000990 - Internal Communications Manager
  • Wilmington, DE FULL_TIME
  • At AstraZeneca, we believe in the power of science to change lives. As an Associate Director, Internal Communications, you'll play a pivotal role in channeling our scientific capabilities to make a po...
  • 19 Days Ago

1
Associate Director, CVRM Access Strategy
  • 10000138 - Brand Manager
  • Wilmington, DE FULL_TIME
  • Introduction to Role:Join AstraZeneca's unmatched CVRM (Cardiovascular, Renal & Metabolic) portfolio team and contribute to delivering new treatment options for patients. As an Associate Director, you...
  • 19 Days Ago

5
Medical Science Liaison, MA, RI - GI
  • 50201106 - Oncology Medical Liaison Manager
  • Wilmington, DE FULL_TIME
  • Location: MA, RI, USADo you have expertise in, and passion for Medical Affairs in Oncology? AstraZeneca’s vision in Oncology is to help patients by redefining the cancer-treatment paradigm with the bo...
  • 1 Day Ago

5
Medical Science Liaison - GI
  • 50201106 - Oncology Medical Liaison Manager
  • Wilmington, DE FULL_TIME
  • Location: SC, NC, TN, VA, USADo you have expertise in, and passion for Medical Affairs in Oncology? AstraZeneca’s vision in Oncology is to help patients by redefining the cancer-treatment paradigm wit...
  • 1 Day Ago

H
Provider Contracting Manager
  • Health New England
  • SUMMARY: The Provider Contracting Manager is responsible for leading or assisting with network development activities of...
  • 4/23/2024 12:00:00 AM

C
Provider Contract Management Specialist
  • Cambia Health Solutions Inc
  • Portland, OR
  • Provider Contract Management Specialist Remote opportunity for residents of OR, WA, ID and UT Primary Job Purpose The Pr...
  • 4/23/2024 12:00:00 AM

H
Provider Contracting Manager
  • Health New England
  • Oklahoma City, OK
  • SUMMARY: The Provider Contracting Manager is responsible for leading or assisting with network development activities of...
  • 4/22/2024 12:00:00 AM

M
Provider Contracts Manager
  • Molina Healthcare
  • Syracuse, NY
  • ***Remote and must live in New York*** Job Description Job Summary Molina Health Plan Provider Network Contracting jobs ...
  • 4/22/2024 12:00:00 AM

M
Provider Contracts Manager
  • Molina Healthcare
  • New York, NY
  • ***Remote and must live in New York*** Job Description Job Summary Molina Health Plan Provider Network Contracting jobs ...
  • 4/22/2024 12:00:00 AM

M
Provider Contracts Manager
  • Molina Healthcare
  • Rochester, NY
  • ***Remote and must live in New York*** Job Description Job Summary Molina Health Plan Provider Network Contracting jobs ...
  • 4/22/2024 12:00:00 AM

C
Provider Contract Management Specialist
  • Cambia Health Solutions, Inc
  • Portland, OR
  • Provider Contract Management Specialist Remote opportunity for residents of OR, WA, ID and UT Primary Job Purpose The Pr...
  • 4/22/2024 12:00:00 AM

D
Provider Contract Manager *REMOTE Seattle Area*
  • Dexian
  • Chicago, IL
  • Position: Provider Contract Manager *REMOTE Seattle Area* Location: Remote - Everett, Seattle, Tacoma, Washington State ...
  • 4/22/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$110,814 to $147,161

Provider Contracting Manager in Gastonia, NC
By simplifying and automating the provider contracting lifecycle, we help make it easier for health plans to identify and implement savings opportunities to obtain maximum value from provider relationships.
January 09, 2020
Provider Contracting Manager in Springfield, IL
Responsible for the oversight of their assigned networks to ensure network provider deficiencies are being met and working closely with their assigned Network Support staff and Medical Management counterparts to ensure network needs/changes are being effectively addressed and communicated both internally and externally.
January 19, 2020
Provider Contracting Manager in Cedar Rapids, IA
New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process.
February 03, 2020