The Network Contract Manager for UHN develops the provider network yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers and business partners. Network Contract Managers evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining solid business relationships with providers and ensuring the network composition includes an appropriate distribution of provider specialties.
If you are located in Florida, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:- Manage unit cost budgets, target setting, performance reporting and associated financial models
- Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
- Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
- Ensure that network composition includes an appropriate distribution of provider specialties
- Provide explanations and information to others on difficult issues
- Work cross functionally to facilitate resolution of issues
You9ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:- 3+ years of experience with contract review, creation, and negotiation in a network management-related role
- 2+ years of experience using financial models and analysis to negotiate rates with providers
- Intermediate level of proficiency using MS Office Word, Excel and PowerPoint
- Intermediate level of knowledge of claims processing systems and guidelines
- Willing and able to work Eastern hours
- Access to reliable transportation and valid US driver9s license
Preferred Qualifications:- In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
- Experience conducting provider meetings and negotiations in-person or virtually
- Advanced competency of Excel, including pivot tables
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you9ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
