Provider Network Manager - Remote

Overview

The Provider Network Manager role involves negotiating nonpar single case agreements and ensuring compliance while fostering partnerships within the healthcare sector.

In Short

• Individual contributor within the Nonpar Provider Contracting Team.
• Responsible for negotiating reimbursement rates with healthcare providers.
• Ensures compliance with policies and regulatory requirements.
• Utilizes strong communication skills for effective stakeholder engagement.
• Manages multiple priorities in a fast-paced environment.
• Develops pricing strategies for individual cases.
• Documents case outcomes and communicates results.
• Acts as a subject matter expert for complex cases.
• Promotes professional growth through continuing education.
• Offers a comprehensive range of health-related benefits.

Requirements

• Minimum 2+ years of experience in healthcare contracting.
• Experience in reimbursement methodologies.
• Proficient in medical terminology and healthcare standards.
• Strong negotiation and conflict resolution skills.
• Advanced proficiency in Microsoft Office Suite.
• Ability to manage multiple priorities effectively.

Benefits

• Medical, vision, and dental benefits from day one.
• 401(k) and company paid life insurance.
• Tuition reimbursement available.
• Minimum of 18 days of paid time off per year.
• Participation in an annual bonus plan.