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Provider Contracting Lead Analyst - Remote

Posted 2 days ago
Sales / Business
Full Time
NY, USA
69,800 - 116,400 USD/year

Overview

The Provider Contracting Lead Analyst is a key role within the Provider Contracting Team, primarily responsible for managing contracting processes and building provider relationships to support local market strategies.

In Short

  • Manage submission processes for contracting and negotiations.
  • Support development of value-based relationships with providers.
  • Build and maintain effective communication channels with various partners.
  • Assist in network development and identify opportunities for improvement.
  • Prepare and analyze financial impacts of provider contracts.
  • Ensure accurate implementation and administration of contracts.
  • Resolve provider service complaints and escalated issues.
  • Demonstrate knowledge of the competitive landscape in healthcare.
  • Utilize Microsoft Office tools to support job responsibilities.
  • Contribute to initiatives that improve medical cost and quality.

Requirements

  • Bachelor's degree or significant industry experience.
  • 1+ years of experience in Provider Contracting and Negotiating.
  • 1+ years of Provider Servicing experience.
  • Strong relationship management skills.
  • Excellent written and verbal communication skills.
  • Problem-solving and decision-making abilities.
  • Experience with healthcare business models.
  • Ability to work in a fast-paced, matrix organization.
  • Proficient in Microsoft Office tools.

Benefits

  • Comprehensive health-related benefits from day one.
  • 401(k) with company match.
  • Company paid life insurance.
  • Tuition reimbursement.
  • Minimum of 18 days of paid time off per year.
  • Paid holidays.
  • Eligibility for an annual bonus plan.
  • Support for whole health and well-being.
  • Inclusive workplace with equal employment opportunities.
  • Commitment to enhancing lives through health services.

MDLive

MDLive

520 eviCore healthcare MSI, LLC, a part of Evernorth Health Services and The Cigna Group, is dedicated to creating innovative pharmacy, care, and benefit solutions aimed at improving health and enhancing vitality. The company focuses on making healthcare more accessible through expert medical reviews and clinical services, ensuring that patients receive the necessary care while adhering to utilization management standards. With a commitment to continuous improvement and support for healthcare professionals, 520 eviCore healthcare MSI, LLC plays a vital role in the healthcare ecosystem, driving growth and improving lives.

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