Senior Provider Contracting & Network Lead

Zing Health Holdings Inc; Alton (IL); On-site; USD 90,000 - 130,000; Full time

Job summary

Zing Health Holdings Inc. seeks a Sr. Network Manager to lead provider contracting and network development across all product lines.

You will craft and execute strategic initiatives to build a cost-effective, high-functioning network and collaborate with Sales, Marketing, and Health Services to meet growth and cost targets. You will manage hospital, FQHC, physician and ancillary contracts, educate providers, and analyze network gaps to expand our contracted network within the assigned geographic

Qualifications

• 3–5 years of experience in a Managed Care environment, Network Management or Provider Services.
• Experience with hospital contracting or related network management duties.
• Strong negotiation, analytic, and problem-solving abilities.
• Excellent verbal and written communication and ability to work independently.

Responsibilities

• Contracts and negotiates with Hospital, FQHCs, Physicians and Ancillary providers for all product lines.
• Conducts Provider Orientations and ongoing education to Network Providers.
• Understands and explains fee-for-service and risk contracts.
• Manages physician network by developing and maintaining relationships to drive business results within a specific geographic area.
• Responds to provider’s contract requests and inquiries.
• Analyzes network gaps and identifies providers to contract.
• Reviews and amends provider’s contracts when necessary.
• Evaluates contracted network to ensure functionality.
• Research and develop relationships with non-contracted providers.
• Collects credentialing and required documents for newly contracted providers.
• Performs special projects as assigned.

Skills

Medicare experience

Negotiation

Analytical skills

Problem-solving

Verbal & written communication

Multitasking / prioritization

Job description

Zing Health Holdings Inc. seeks a Sr. Network Manager to lead provider contracting and network development across all product lines.

You will craft and execute strategic initiatives to build a cost-effective, high-functioning network and collaborate with Sales, Marketing, and Health Services to meet growth and cost targets. You will manage hospital, FQHC, physician and ancillary contracts, educate providers, and analyze network gaps to expand our contracted network within the assigned geographic