Associate Director, Provider Network Contacting
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Job description
Experteer Overview In this role, you will lead development and support of provider networks and unit cost management through pricing modeling and analysis. You’ll shape cross-functional strategies to build competitive, high-quality networks with a focus on cost performance. You will address complex technical and operational challenges and guide work impacting multiple functions and customer accounts. This leadership opportunity sits within a Fortune 6 company, offering remote work flexibility and meaningful impact on care delivery and affordability. You will help advance the healthcare system of tomorrow by aligning network strategy with broader mission to improve access and equity. Compensation / Benefits * Guide development of geographically competitive, broad access, stable networks that achieve unit cost performance and trend management * Develop functional, market level and/or site strategy, plans, production and/or organizational priorities * Apply network configuration and incentive-based payment models to improve quality and efficiency * Identify and resolve technical, operational and organizational problems * Direct work that impacts entire functions and/or customer accounts Tasks * 5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results * 2+ years of experience developing product pricing and utilizing financial modeling in making rate decisions * 2+ years of experience managing a medical cost and administrative budget * 2+ years of experience with provider contracting * Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc. * Driver’s License and access to a reliable transportation Key requirements * comprehensive benefits package * incentive and recognition programs * equity stock purchase * 401k contribution
Requirements
development payment models to improve quality and efficiency * Identify and resolve technical, operational and organizational problems * Direct work that impacts entire functions and/or customer accounts Tasks * 5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results * 2+ years of experience developing product pricing and utilizing financial modeling in making rate decisions * 2+ years of experience managing a medical cost and administrative budget * 2+ years of experience with provider contracting * Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc. * Driver’s License and access to a reliable transportation Key requirements * comprehensive benefits package * incentive and recognition programs * equity stock purchase * 401k contribution
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