Director, Provider Network Negotiator

5 - 7 years experience  •  Patient Care

$140K - $150K ($130K - $140K base + 10K, Excellent Benefits and Relocation Expenses)
Posted on 12/07/17 by William Greenberg
New Orleans, LA
5 - 7 years experience
Patient Care
$140K - $150K
($130K - $140K base + 10K, Excellent Benefits and Relocation Expenses)
Posted on 12/07/17 by William Greenberg

Hospital is a locally owned and governed, not-for-profit healthcare system and the largest, most comprehensive provider of healthcare services in the region. Hospital provides services to Lake, Sumter, and Marion counties through inpatient acute hospital services.

The hospital's growing array of specialty services includes robotic surgery, cardiac care, orthopedics, stroke care, neurosurgery and more. The Rehabilitation Hospital offers inpatient rehabilitation treatment for patients who have had a stroke, traumatic brain injury or other neurological disorder.

POSITION IS BASED IN CENTRAL FLORIDA.

RELOCATION EXPENSES PAID FOR THE QUALIFIED CANDIDATE

 

POSITION SUMMARY:

* To negotiate fee-for-service hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to help expand and develop provider network.

* Analyzes market data and financial models.

* Prepares and negotiates provider contracts.

* Develops and expands provider participation within the network. Maintains provider participation within the network.

* Monitors provider performance; implements corrective action plans. Identifies current issues and probable future issues; guides staff through resolution.

* Documents contracts; updates contracts as changes occur.

EDUCATIONAL REQUIREMENTS

*Bachelor’s Degree

Special Skills and Experience:

* Experience five (5) years of progressive provider network contract negotiation experience or equivalent combination of education and experience required.

* Experience in a healthcare management environment including provider contracting, servicing and benefit interpretation preferred.

* Two (2) years supervisory experience preferred.

Skills & Knowledge

* Strong project management skills

* Excellent negotiation skills

* Excellent oral and written communication, including presentation skills

* PC literate, including Microsoft Office products

* Leadership/management/ motivational skills

* Analytical and interpretive skills

* Strong organizational skills

TEAM MEMBERS SUPERVISED

None

POSITION IS BASED IN CENTRAL FLORIDA.

RELOCATION EXPENSES PAID FOR THE QUALIFIED CANDIDATE

 

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