Senior Provider Contracts & Network Lead

Zing Health, Inc.; Springfield (IL); On-site; USD 110,000 - 150,000; Full time

Job summary

Zing Health, Inc. is seeking a Sr. Network Manager in the Springfield, IL area to lead provider contracting and network development across all product lines.

The role focuses on cost-effective network strategy and collaboration with Sales, Marketing, and Health Services to meet growth and medical cost targets. The position requires 3-5 years in managed care or provider services with strong negotiation, analytical, and communication skills.

Qualifications

• 3-5 years of experience in a Managed Care environment, Network Management or Provider Services.
• Medicare experience preferred.
• Hospital contracting experience or related Network Management position.
• Demonstrated negotiation, analytic, and problem-solving skills.
• Verbal and written communications skills; interpersonal and presentation abilities.

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

Negotiation

Analytic skills

Problem-solving

Verbal communication

Written communication

Presentation skills

Independent work

Multitasking

Job description

Zing Health, Inc. is seeking a Sr. Network Manager in the Springfield, IL area to lead provider contracting and network development across all product lines.

The role focuses on cost-effective network strategy and collaboration with Sales, Marketing, and Health Services to meet growth and medical cost targets. The position requires 3-5 years in managed care or provider services with strong negotiation, analytical, and communication skills.