Provider Contracts Manager - Complex (Behavioral Health)
hckd.fa.us2.oraclecloud.com.CX_1
Apply to this job***Remote and must live in or be willing to travel to Washington*** JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Responsible for negotiating agreements, including value-based payment methodology, with complex provider groups that are strategically critical to plan success, including but not limited to: hospitals, independent physician associations (IPAs), and behavioral health organizations. Essential Job Duties • Negotiates contracts and letters of agreement with the complex provider community to secure high quality, cost-effective and marketable plan providers. • Contracts/re-contracts with large-scale entities involving custom reimbursement; executes standardized alternative payment model (APM) contracts; issues escalations, and supports network adequacy, jo...
Summary
Leads complex provider contract negotiations, network strategy, and performance for health plans.
Job title
Provider Contracts Manager - Complex (Behavioral Health)
Experience level
null
Industry
healthcare
Location requirements
Remote, must live or travel to Washington
Salary
Not specified
Management role
No
Required skills
Preferred skills
Specializations
Structured locations inferred from the posting.
Unknown location