Senior Provider Contracts & Network Lead

Zing Health, Inc.; Illinois; On-site; USD 90,000 - 140,000; Full time

Job summary

Zing Health, Inc. is seeking a Sr. Network Manager to lead provider contracting and network development across all product lines in Illinois. You will shape provider strategies, build relationships with hospitals, physicians, and ancillary providers, and partner with Sales and Health Services to meet growth and cost targets.

The role requires Medicare experience preferred, 3-5 years in managed care or network management, and strong negotiation and communication skills. Travel may be required.

Qualifications

• Medicare Experience Preferred.
• 3 - 5 years of experience in a Managed Care environment, Network Management or Provider Services
• Hospital contracting experience or related Network Management position with the ability to perform the level of duties of the position
• Demonstrated negotiation, analytic, and problem-solving skills
• Experience or knowledge of provider reimbursement methods and claims processing systems
• Verbal and written communications skills to include interpersonal and presentation skills
• Ability to work effectively and independently. Demonstrated ability to effectively manage multiple priorities

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

Hospital contracting

Negotiation

Analytic skills

Communication skills

Problem-solving

Independent work

Prioritization

Job description

Zing Health, Inc. is seeking a Sr. Network Manager to lead provider contracting and network development across all product lines in Illinois. You will shape provider strategies, build relationships with hospitals, physicians, and ancillary providers, and partner with Sales and Health Services to meet growth and cost targets.

The role requires Medicare experience preferred, 3-5 years in managed care or network management, and strong negotiation and communication skills. Travel may be required.