Senior Provider Network Contract Specialist - Wellpath - Nashville, TN | JobsinTN.com

Senior Provider Network Contract Specialist

Wellpath | Nashville, TN

Wellpath
The Employer has temporarily removed this posting

Overview

Our Senior Contract Specialist supports the Director, Network Development by developing and managing provider networks and vendor relationships for new and existing sites.

Qualifications

Education:

  • Bachelor's Degree

Experience:

  • At least three (3) years of Managed Care/Healthcare contracting experience
  • Three (3) to five (5) years of experience in working with Managed Care contract terms and reimbursement methods.
  • Position requires strong skills in MS Word, Excel, PowerPoint, and Outlook.
  • Excellent written and oral communications skills, multi-tasking, problem solving capability, creativity, initiative, teamwork skills, public relations and customer service skills are required.

Licenses/Certifications:

  • None required

Responsibilities

Assist in developing/managing relationships with targeted hospitals and healthcare providers.Negotiate cost effective contracts in compliance with all state, provider, and corporate requirements.Manage/negotiate medical claims for non-contracted providers in established markets.Specific projects/data analysis as directed by VP Network Development.Provide support for pre-bid assessments for the business development team, securing Letters of Intent and establishing preliminary relationships.Responsible for maintaining documentation for all hospital/provider contracts and assisting with providing information for audits.Must be able to apply principles of critical thinking to a variety of practical and emergent situations and accurately follow standardized procedures that may call for deviations.Must be able to apply sound judgment beyond a specific set of instructions and apply knowledge to different factual situations.Must be alert at all times; pay close attention to details.Must be able to work under stress on a regular or continuous basis.Perform other duties as assigned.

CCS is an EOE/Minorities/Females/Vet/Disability Employer


Job Code: 18-59637
Posted On: 2019-01-24 10:00:36
Closing Date: Open Until Filled
Telecommute: No
Job Status: Full Time
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