Senior Provider Contracting & Network Manager

Zing Health Holdings Inc; Illinois; On-site; USD 90,000 - 130,000; Full time

Job summary

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

The role emphasizes cost-effective network strategy and collaboration with Sales, Marketing, and Health Services to support market growth and medical cost targets. Responsibilities include negotiating with hospitals and physicians, conducting provider orientations, and managing relationships to ensure a functional network.

Qualifications

• 3–5 years of experience in a Managed Care environment, Network Management or Provider Services.
• Experience in hospital contracting or related network management positions.
• Demonstrated negotiation, analytic and problem-solving skills.
• Experience or knowledge of provider reimbursement methods and claims processing systems.
• Verbal and written communications skills; ability to manage multiple priorities.

Responsibilities

• Contracts and negotiates with Hospitals, 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 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.
• Research and develop relationships with non-contracted providers.
• Collects credentialing and required documents for newly contracted providers.
• Performs special projects as assigned.

Skills

Negotiation

Analytical skills

Problem-solving

Communication skills

Independent work

Multi-tasking

Provider relations

Job description

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

The role emphasizes cost-effective network strategy and collaboration with Sales, Marketing, and Health Services to support market growth and medical cost targets. Responsibilities include negotiating with hospitals and physicians, conducting provider orientations, and managing relationships to ensure a functional network.