Principal Network Management Consultant

Principal Network Management Consultant

Requirements

• Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience.
• Extensive knowledge of provider and facility contracting, products, and claims/processing systems.
• Negotiation skills.
• Relationship building skills.
• Knowledge of marketplace.
• Meet deadlines and work well under pressure.
• Verbal and written communication skills to interact with all levels of corporate personnel and providers.
• PC proficiency to include Microsoft Office.
• Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations.
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

Responsibilities

• Provider recruitment and contracting of physicians, physician groups, and facilities including large or complex groups/facilities.
• Develop and negotiate contracts.
• Develop and maintain relationships with providers.
• Ensure strategic coverage for assigned territory.
• Responsible for education of providers and for ongoing provider service.
• Provide subject matter expertise to improve efficiencies and results.

Preferred Qualifications

No preferred qualifications provided.