HealthCare Support
Network Contracting Specialist - Value-Based Care
HealthCare Support, Somerville, New Jersey, us, 08876
Network Contracting Specialist
HealthCare Support is actively seeking a
Network Contracting Specialist to fill an opening with a prestigious Healthcare company.
Daily Responsibilities for Network Contracting Specialist:
This role will facilitate and lead negotiations with our network of provider partners in our New Jersey, Pennsylvania and New York markets representing billions in spend Negotiations will include but not limited to Hospitals, Physicians and Ancillary providers, including value-based programs for all our medical lines of business including Commercial, Medicare, Medicaid, DSNP, MLTSS and Casualty services This role will collaborate with the Medical Economics, Payment Model Evolution Team and Provider Experience teams in preparation for contract rate proposals that adhere to our unit price trend budget, standard payment methodologies, standard contract language, ensure compliance with all regulatory, accreditation and enterprise requirements while advancing our strategic and business objectives This role will work directly with the Manager on fee-for-service and value-based payment contracting initiatives for all our lines of business, collaborating with the Payment Model Evolution Team when appropriate to introduce updated payment models This role will facilitate the execution of network contracting strategy and maintenance of contracting policies.
Required Qualifications for Network Contracting Specialist:
High School Diploma/GED required 5 years provider experience in Commercial, Medicare, Medicaid, and
Value Based Programs 5 years' experience in hospital finance and/or managed care network development Must be proficient in MS Office products (Word, Excel, PowerPoint) and knowledgeable in the use of intranet and internet applications Must have effective verbal and written communication skills and demonstrate the ability to work well within a team
Preferred Qualifications for Network Contracting Specialist:
Bachelor's degree in business, finance, accounting, health administration preferred or relevant experience in lieu of degree Master's degree in health or business
Benefits for Network Contracting Specialist:
Medical, Dental, Vision 401k + Company Match Tuition Reimbursement 19 days of PTO & 11 paid holidays
Pay Details: $84,700 - $115,605 per year + 10% annual bonus
Interested in being considered? If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to Brandon.schabbel@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
#DHSM1124 #LI-BS1
HealthCare Support is actively seeking a
Network Contracting Specialist to fill an opening with a prestigious Healthcare company.
Daily Responsibilities for Network Contracting Specialist:
This role will facilitate and lead negotiations with our network of provider partners in our New Jersey, Pennsylvania and New York markets representing billions in spend Negotiations will include but not limited to Hospitals, Physicians and Ancillary providers, including value-based programs for all our medical lines of business including Commercial, Medicare, Medicaid, DSNP, MLTSS and Casualty services This role will collaborate with the Medical Economics, Payment Model Evolution Team and Provider Experience teams in preparation for contract rate proposals that adhere to our unit price trend budget, standard payment methodologies, standard contract language, ensure compliance with all regulatory, accreditation and enterprise requirements while advancing our strategic and business objectives This role will work directly with the Manager on fee-for-service and value-based payment contracting initiatives for all our lines of business, collaborating with the Payment Model Evolution Team when appropriate to introduce updated payment models This role will facilitate the execution of network contracting strategy and maintenance of contracting policies.
Required Qualifications for Network Contracting Specialist:
High School Diploma/GED required 5 years provider experience in Commercial, Medicare, Medicaid, and
Value Based Programs 5 years' experience in hospital finance and/or managed care network development Must be proficient in MS Office products (Word, Excel, PowerPoint) and knowledgeable in the use of intranet and internet applications Must have effective verbal and written communication skills and demonstrate the ability to work well within a team
Preferred Qualifications for Network Contracting Specialist:
Bachelor's degree in business, finance, accounting, health administration preferred or relevant experience in lieu of degree Master's degree in health or business
Benefits for Network Contracting Specialist:
Medical, Dental, Vision 401k + Company Match Tuition Reimbursement 19 days of PTO & 11 paid holidays
Pay Details: $84,700 - $115,605 per year + 10% annual bonus
Interested in being considered? If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to Brandon.schabbel@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
#DHSM1124 #LI-BS1