Provider Network Manager
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Job Description
Provider Network Manager responsible for developing hospital contracts and maintaining relationships within the healthcare network at Blue Cross of Idaho. Focuses on contract negotiations, financial performance, and provider satisfaction.
Responsibilities:
- Management, operation, direction, organization, and administration of hospital contracts
- Ensure network contracts provide cost effective outcomes
- Develop and maintain positive working relationships with contracted hospitals
- Contract and negotiate with the most complex providers
- Actively audit and monitor financial performance of all assigned hospitals to ensure accurate implementation and administration of contracts
- Analyze, review, and project financial impact of contract arrangements
- Initiate and maintain effective communication channels with internal business partners
Requirements:
- Minimum 4 years' provider contract management/network management, provider and hospital reimbursement methodologies, contract language negotiation, or relevant experience
- Required Education: Bachelor’s degree or equivalent work experience (Two years’ work experience is equivalent to one year of college)
Benefits:
- Paid time off
- Paid holidays
- Community service and self-care days
- Medical/dental/vision/pharmacy insurance
- 401(k) matching and non-contributory plan
- Life insurance
- Short and long term disability
- Education reimbursement
- Employee assistance plan (EAP)
- Adoption assistance program
- Paid family leave program
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