NETWORK MANAGEMENT PARTNER

Aspirus, Inc; Town of Wausau (WI); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Full benefits package

Paid time off

Retirement plans

Wellness program

Job summary

Aspirus Health in Wausau, Wisconsin is seeking a Network Management Partner to join our Aspirus Health Plan team. The role negotiates and executes physician, hospital, and ancillary contracts, provides guidance on reimbursement strategies, and helps develop procedures to increase market share.

You will maintain active communication with the provider network and serve as the point of contact for escalated issues; travel as needed; full-time or 1.0 FTE.

Qualifications

• Bachelor's Degree preferred in Healthcare Administration, Finance or Business Management.
• Previous network development and provider contracting experience.
• Possesses a valid driver's license. Occasional travel is required.
• Knowledge of NCQA and CMS quality standards.
• Knowledge of state and federal requirements for network adequacy, contracting, and compliance.
• Efficient in Microsoft Excel, Outlook, PowerPoint, and Word.
• Annual competencies as required by Aspirus and/or various regulatory agencies based on entity and/or job position.

Responsibilities

• Negotiates and executes physician, hospital, and ancillary contracts for Aspirus Health Plan.
• Provides guidance and governance on reimbursement strategies.
• Develops procedures to increase market share and enhance competitiveness of all Aspirus Health Plan products.
• Maintains active communication with provider network and serves as the point of contact for escalated issues.

Skills

Negotiation

Contract management

Provider contracting

Excel

Outlook

PowerPoint

Word

Travel

Education

Bachelor's Degree in Healthcare Administration or Finance or Business Management

Tools

Microsoft Excel

Outlook

PowerPoint

Word

Job description

Compassion. Accountability. Collaboration. Foresight. Joy.

These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.

Aspirus Health in WAUSAU, WI is seeking a NETWORK MANAGEMENT PARTNER to join our ASPIRUS HEALTH PLAN team!

The Network Management Partner is responsible for negotiating and executing physician, hospital, and ancillary contracts for Aspirus Health Plan. Providing guidance and governance on reimbursement strategies and working collaboratively to develop procedures to increase market share and enhance the competitiveness of all Aspirus Health Plan products. Maintain active communication with provider network and act of point of contact for any escalated issues.

HOURS: Full-Time or 1.0 FTE, 80 hours every 2 weeks.

Experience/Qualifications

• Bachelor's Degree preferred in Healthcare Administration, Finance or Business Management.
• Previous network development and provider contracting experience.
• Possesses a valid driver's license. Occasional travel is required.
• Knowledge of NCQA and CMS quality standards.
• Knowledge of state and federal requirements for network adequacy, contracting, and compliance.
• Efficient in Microsoft Excel, Outlook, PowerPoint, and Word.
• Annual competencies as required by Aspirus and/or various regulatory agencies based on entity and/or job position.

Employee Benefits

• Full benefits packages available for part- and full-time status.
• Time away from work accrual.
• Retirement plans available.
• Wellness program for employees and their families.

Our Mission

We heal people, promote health and strengthen communities.

Our Vision

Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.

Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.

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