Senior Provider Network Contract Specialist
Wellpath | Nashville, TN
Our Senior Contract Specialist supports the Director, Network Development by developing and managing provider networks and vendor relationships for new and existing sites.
- Bachelor's Degree
- 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.
- None required
ResponsibilitiesAssist 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