Provider Network Manager

Provider Network Manager

Modis | French Camp, CA, 95231, US
Salary Range:$120,000 – $169,000 Salary range estimated by Zippia

Posted 12 days ago

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Description

Modis is looking for a Healthcare Provider Contracts Manager for a Direct Hire opportunity.

This is not a C2C Capable role.

Must live in California to be considered.

* Only residence in CA will be accepted*

Annual Salary: 70k-80k/Annually DOE

Previous Experience Required:

Processing assigned provider contracts Recruiting new sites/providers Managing full contracting process Drafting and completing Letters of Agreement as well as contracts Processing and Confirm Credentialing documents Negotiating rates and work with financing on financial modeling Executing contracts Managing notifications that contract has been executed Maintenance of existing/new contracts

Essential Responsibilities:

Develops and fosters strong working relationships with the provider community which support provider satisfaction, medical cost targets, network growth and/or efficiency targets. Develops contracts and rate methodologies consistent with company guidelines, and organizational goals and objectives. Conducts analysis of proposed and existing contracts, including but not limited to financial impact, performance, sustainability and access; makes recommendations and implements. Negotiates agreements within established parameters. Oversees contract implementation Will have regular interaction with our legal department Updates on contracts with any regulatory change requirements

Industry

Hospital & Health Care Insurance Medical Practice

Employment Type

Full-time

Job Functions

Business Development Management Health Care

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.modis.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records