Senior Provider Contracting & Network Lead

Zing Health, Inc.; Chicago (IL); On-site; USD 120,000 - 190,000; Full time

Job summary

Zing Health, Inc. is seeking a Sr. Network Manager to lead provider contracting and network development across all lines of business.

The role focuses on building a cost-effective, functional network and coordinating with Sales, Marketing and Health Services to meet market growth and medical cost targets. The position requires 3–5 years in a managed care environment with hospital contracting experience and strong negotiation and analytic skills to drive business results in a defined geographic

Qualifications

• 3–5 years in a managed care environment, network management or provider services.
• Experience with hospital contracting and network management duties.
• Strong negotiation, analytical and problem-solving abilities.

Responsibilities

• Contracts 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 in a geographic area.
• Responds to provider contract requests and inquiries.
• Analyzes network gaps and identifies providers to contract.
• Reviews and amends provider contracts when necessary.
• Evaluates contracted network to ensure functionality.
• Researches and develops relationships with non-contracted providers.
• Collects credentialing and required documents for newly contracted providers.
• Performs special projects as assigned.

Skills

Negotiation

Analytics

Relationship mgmt

Communication

Education

Bachelor's degree in Healthcare Administration or related field

Job description

Zing Health, Inc. is seeking a Sr. Network Manager to lead provider contracting and network development across all lines of business.

The role focuses on building a cost-effective, functional network and coordinating with Sales, Marketing and Health Services to meet market growth and medical cost targets. The position requires 3–5 years in a managed care environment with hospital contracting experience and strong negotiation and analytic skills to drive business results in a defined geographic