Anonymous Company
A company is looking for a Provider Network Executive IV. Key Responsibilities: Develop and execute ongoing account management and service strategy to meet corporate strategic/financial objectives Lead negotiation and implementation of complex, multifaceted provider contracts Collaborate with
Job Summary
A company is looking for a Provider Network Executive IV.
Key Responsibilities:
- Develop and execute ongoing account management and service strategy to meet corporate strategic/financial objectives
- Lead negotiation and implementation of complex, multifaceted provider contracts
- Collaborate with Healthcare Economics in rate development and proposal analysis
Required Qualifications:
- Bachelor’s Degree or (4) years of experience in a provider or payer environment
- (6) years of experience in payer or provider contracting and managing provider relationships in the health care or insurance industry including (4) years of experience negotiating contracts
- Master’s Degree in a related field preferred
- Consulting experience preferred
- Working knowledge of the Health Insurance Portability and Accountability Act (HIPAA), the National Committee for Quality Assurance (NCQA), government health care programs, and risk coding