Senior Provider Network Contracts Lead

Jobtailor

Los Angeles (CA)

On-site

USD 110,000 - 170,000

Full time

6 days ago
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Job summary

Jobtailor in Los Angeles, CA is seeking a seasoned Contracting and Provider Relations professional to build and optimize a robust provider network through strategic negotiations, relationship development, and comprehensive servicing across multiple markets. You will manage complex fee schedules and non-standard arrangements with a focus on value-based concepts.

The role requires leadership to mentor staff, collaborate with sales teams for employer-group presentations, and ensure accurate

Qualifications

  • BA/BS degree required.
  • Minimum 5 years’ experience in contracting, provider relations, and servicing.
  • Experience should include prior contracting experience.
  • California provider experience preferred.

Responsibilities

  • Develop the provider network through contract negotiations, relationship development, and servicing.
  • Focus on contracting and negotiating contract terms with complex providers.
  • Work with large institutional providers, large medical groups, ancillary providers, and value-based concepts.
  • Negotiate non-standard arrangements and customized fee schedules.
  • Serve as a key resource for contracting staff.
  • Provide mentoring and on-the-job training and development.
  • Work independently with a high level of judgment and discretion.
  • Collaborate on business-unit and enterprise network-management projects.
  • Collaborate with sales teams on presentations to employer groups.
  • Serve as a communication link between professional providers and the company.
  • Ensure appropriate distribution of provider specialties in the network.
  • Conduct complex negotiations and draft documents.
  • Prepare financial projections and conduct analysis.

Skills

Contract Negotiation
Provider Relations
Fee Schedule Development
Actuarial Models
Document Drafting

Education

BA/BS degree

Job description

Jobtailor in Los Angeles, CA is seeking a seasoned Contracting and Provider Relations professional to build and optimize a robust provider network through strategic negotiations, relationship development, and comprehensive servicing across multiple markets. You will manage complex fee schedules and non-standard arrangements with a focus on value-based concepts.

The role requires leadership to mentor staff, collaborate with sales teams for employer-group presentations, and ensure accurate

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