Hybrid Provider Contracting Manager | Network & Compliance

CareFirst BlueCross BlueShield; Baltimore (MD); Hybrid; USD 104,640 - 194,238; Full time

Job summary

A leading health insurance provider in the greater Baltimore area seeks an experienced professional for network development. Responsibilities include managing provider recruiting and contracting activities and ensuring compliance with regulations. Candidates should have a Bachelor's Degree in Finance, Accounting, Health Care, or Business Administration, alongside 5 years of relevant industry experience. Strong interpersonal, negotiation, and analytical skills are necessary. The offered salary ranges from $104,640 to $194,238.

Qualifications

• 5 years in the health care or health insurance industry required.
• 1 year of supervisory or progressive leadership experience.
• Advanced degree (MBA, CPA or Nursing Degree) preferred.

Responsibilities

• Manage day-to-day activities regarding network development.
• Plan and manage provider recruiting and contracting.
• Ensure compliance with EEO/AAP and other regulatory requirements.
• Operate department within federal and state legal requirements.

Skills

Interpersonal skills

Negotiation skills

Analytical skills

Communication skills

Organizational skills

Financial acumen

Education

Bachelor's Degree in Finance, Accounting, Health Care or Business Administration

Tools

Microsoft Office

Job description

A leading health insurance provider in the greater Baltimore area seeks an experienced professional for network development. Responsibilities include managing provider recruiting and contracting activities and ensuring compliance with regulations. Candidates should have a Bachelor's Degree in Finance, Accounting, Health Care, or Business Administration, alongside 5 years of relevant industry experience. Strong interpersonal, negotiation, and analytical skills are necessary. The offered salary ranges from $104,640 to $194,238.