Senior Specialist of Provider Contracting
Where
- Bloomfield, CT
What you'll be doing
- This position will serve as an integral member of the provider contracting team. This resource will report directly to the contracting lead and will assist in developing the strategic direction and management of the day to day contracting activities for a given territory. Manage contracting with hospitals and other providers (e.g., hospitals, ancillaries, and large physician groups). Specific responsibilities include, but are not limited to: strategic positioning for contracting with provider and developing networks in outlying areas. Conduct negotiation and draft individual and group contracts. Ensure the smooth operation and administration of provider agreements. Track financial performance of contracts and ensure compliance with contracting guidelines. May provide guidance or expertise to less experienced specialists. Assist in resolving elevated and complex provider service complaints. Research problems and negotiate with internal/external partners/customers to resolve highly complex and/or escalated and sensitive issues. Respond to provider inquiries, concerns, complaints, appeals and grievances. Initiate and maintain effective channels of communication with providers and related office staff. Other projects and duties as assigned.
What your background should be
- Three to five years of contracting and negotiating experience involving complex delivery systems and organizations is required. Strong analytical skills. Intimate knowledge of hospital and managed care finance. Strong written and verbal communication skills and experience with formal presentations. Superior problem solving, decision-making and negotiating skills. Ability to use PC software. Ability to manage in a production and matrix environment.
Required Schooling / Training
- Bachelor degree, MBA or MHA preferred.
Who is the client company
- This is a global health services organization that provides medical, dental, disability, life and accident insurance and related products and services.
- If you are interested in this position, send your resume to apply@kochdavis.com
