Provider Contracting Manager jobs in Atlantic City, NJ

Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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ANALYST PROVIDER COMP AND CONTRACTING - BEEBE MEDICAL GROUP
  • Beebe Healthcare
  • Lewes, DE FULL_TIME
  • Why Beebe?

    Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.

    Overview

    Provide compensation support and analysis for BMG Leadership, Physician Compensation Committee, Provider Recruitment, and other leaders as needed. Take leadership role in the enhancement, development, documentation, and communication of identified variances by managing comprehensive analysis of data. Understand the causes of financial & clinical trends and anomalies. Articulate opportunities to internal and external audiences, including senior executives. Implement solutions and track and monitor progress.

    This role is key in supporting BMG leadership and partnering with multidisciplinary teams.

    Responsibilities

    Compensation & Contracting

    Assists in maintaining market competitive compensation programs and pay practices by gathering information regarding current compensation practices, such as base salary rates, production rates, administrative rates, and other pay programs. Analyzes the information by comparing market and/or internal equity.

    Assists in determining the financial impact on Beebe Medical Group. Delivers recommendations to the Physician Compensation Committee. Advises Leaders and Providers on compensation philosophy and practices.

    Provide analysis and guidance for pay decisions and policy interpretation.

    Reviews Physician contracts to ensure compensation is processed correctly and that all pay increases are accurately applied in the HRIS system and production calculations.

    Participates in annual salary surveys from a wide variety of outside consulting groups and reports data findings and makes recommendations for change.

    Participates in HR and information systems management and serves as a liaison, super user, and resource for designated HR responsibilities.

    Helps develop Compensation guidelines and performs structure maintenance to ensure compliance with contracts and rates. Maintains compensation dictionaries regarding base salary pay, production pay, administrative pay, call pay, etc.

    Provides support to payroll team and acts a resource for physician and APP compensation.

    Reviews calculations and spreadsheets for accuracy and completeness.

    Identifies and prioritizes information needs, research and consults compensation and leadership team for best practice solutions, compiles and organizes information, performs data analysis and visualizations, and presentations with BMG Leadership.

    Creates a variety of reports for internal and external customers. Compiles and analyzes data to prepare information for studies/surveys, regulatory compliance reports, auditors, accreditation surveys and other special requests. Assists in the creation of monthly reports and financials for month-end reporting and financial accruals.

    Has basic and developing knowledge of federal, state, and local compensation laws and regulations to ensure compliance. Supports the annual Fair Market Value analysis of physician compensation and understands and helps ensure compliance to federal Start, Anti-Kickback, and other laws and regulations that deal with physician compensation.

    Builds awareness and knowledge base of current trends in compensation technology trends, compensation legislative activity and health care/industry trends which may impact strategic objectives.

    Collaborates with Provider Recruitment and Legal to finalize contracts and serve them up to BMG Leadership to share with candidates.

    FP&A

    Partner with BMG Leadership and Directors to support development of short and long-term financial objectives utilizing analytics and other resources

    Collaborate with Decision Support and Finance to leverage analytics as Subject Matter Expert for recommending contractual improvements to achieve bottom line targets

    Assist with developing and refining BMG financial metrics and data validation

    Support financial reporting and monitoring of revenues, expenses, and cost-saving initiatives, communicating impact and trends to BMG Leadership

    Partner with financial stakeholders to support BMG Leadership's oversight and understanding of internal and external financial trends that impact operations

    Investigate variances and derive solutions to cost increases and quality issues

    Perform cost/benefit analysis

    Perform statistical analyses and explain analyses to non-technical audiences

    Identify trends in expenses, utilization, medical quality, and other areas

    Leverage knowledge of financial, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial performance

    Meet deadlines and turnaround times (these deadlines and turnaround times may require the employee to work until the project is completed)

    Ad Hoc Responsibilities:

    Performs related duties as required

    Competencies Skills

    Essential:Clear Communication Skills Both Written And VerbalKnowledge Of Basic Computer Programs Able To Keep Confidential Information Regarding Patients, Team MembersAble To Withstand Crisis SituationsHas Skills To Provides Customer Service To Patients, Team Members And VisitorsExperience With Excel, Power Point, Word, Visio, Etc.

    Credentials

    Education

    Essential:Bachelor's Degree in related field

    Other Information

    Required

    Bachelor's degree in healthcare-related field (Ex: healthcare or business management, accounting, finance, economics, or related field)

    2-5 years of relevant experience

    Ability to manage multiple tasks and projects, pay attention to detail

    Excellent planning, communication, organizational, analytical, and mathematical abilities

    Ability to interpret and summarize results from analyses in a timely and meaningful way

    Ability to effectively approach problem solving

    Starting at

    USD $66,206.40/Yr.
  • 18 Days Ago

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Construction Manager
  • New Jersey Contracting Network LLC
  • Whiting, NJ FULL_TIME
  • The construction manager supervises and performs construction duties on a daily basis on commercial construction sites. Supervise employees and job site personnel to complete the scope of work assigne...
  • Just Posted

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Senior Provider Recruiting Manager
  • ProSmile
  • Toms River, NJ FULL_TIME
  • Job Title: Senior Provider Recruiting ManagerLocation: Remote Reports to: Director of Talent AcquisitionFLSA Status: ExemptCompany OverviewProSmile is a leading dental services organization dedicated ...
  • 25 Days Ago

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Part Time Patient Care Advocate
  • Oakland Manager LLC
  • Waretown, NJ PART_TIME
  • Summary The Patient Care Associate (PCA) is responsible for delivering an exceptional customer experience. This role ensures all sales are compliant with state regulations and that customer needs are ...
  • 1 Month Ago

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Entry Level Drywall/Carpentry Estimator
  • DePalma Contracting, Inc.
  • Toms River, NJ FULL_TIME
  • DePalma Contracting Inc. is a commercial carpentry subcontractor operating throughout the state of New Jersey. We are seeking an entry level drywall & carpentry estimator to join our team in our Toms ...
  • 7 Days Ago

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Construction crew member
  • New Jersey Contracting Network LLC
  • Manchester, NJ FULL_TIME
  • We are looking for motivated and responsible individuals to help our rapidly growing commercial construction team in the Tri-state area (NJ, NY, PA). We are seeking individuals who can perform general...
  • Just Posted

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0 Provider Contracting Manager jobs found in Atlantic City, NJ area

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Manager, Technology Risk - Enterprise Services Risk Office - ES Risk
  • Capital One
  • Atlantic City, NJ
  • Center 3 (19075), United States of America, McLean, Virginia Manager, Technology Risk - Enterprise Services Risk Office ...
  • 4/25/2024 12:00:00 AM

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THREE Construction Project Executives (Casino / Hotel / Data Center)
  • Academy Recruiters
  • Atlantic City, NJ
  • Job Description Job Description Position: THREE Project Executives - Hotel / Casinos / Data Center (Atlanta, GA & Charlo...
  • 4/23/2024 12:00:00 AM

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iGaming Pitboss
  • Playtech
  • Atlantic City, NJ
  • PT Services (New Jersey) LLC is part of Playtech - the world's largest online gaming software supplier traded on the Lon...
  • 4/22/2024 12:00:00 AM

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Senior Manager, Technical Program Management - Enterprise Data
  • Capital One
  • Atlantic City, NJ
  • Center 3 (19075), United States of America, McLean, Virginia Senior Manager, Technical Program Management - Enterprise D...
  • 4/22/2024 12:00:00 AM

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Senior Manager, Technical Program Management (Card Data Tech)
  • Capital One
  • Atlantic City, NJ
  • West Creek 1 (12071), United States of America, Richmond, Virginia Senior Manager, Technical Program Management (Card Da...
  • 4/22/2024 12:00:00 AM

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Senior Manager, Technical Program Management (Bank Tech)
  • Capital One
  • Atlantic City, NJ
  • Center 1 (19052), United States of America, McLean, Virginia Senior Manager, Technical Program Management (Bank Tech) Ar...
  • 4/22/2024 12:00:00 AM

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Director, Technical Program Management - Enterprise Data
  • Capital One
  • Atlantic City, NJ
  • Center 3 (19075), United States of America, McLean, Virginia Director, Technical Program Management - Enterprise Data Ab...
  • 4/22/2024 12:00:00 AM

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Director, Technical Program Management - Card Data Tech
  • Capital One
  • Atlantic City, NJ
  • Center 1 (19052), United States of America, McLean, Virginia Director, Technical Program Management - Card Data Tech Abo...
  • 4/22/2024 12:00:00 AM

Atlantic City is a resort city in Atlantic County, New Jersey, United States, known for its casinos, boardwalk, and beaches. In 2010, the city had a population of 39,558.[21][22] It was incorporated on May 1, 1854, from portions of Egg Harbor Township and Galloway Township.[23] It borders Absecon, Brigantine, Pleasantville, Ventnor City, Egg Harbor Township, and the Atlantic Ocean. Atlantic City inspired the U.S. version of the board game Monopoly, especially the street names. Since 1921, Atlantic City has been the home of the Miss America pageant. In 1976, New Jersey voters legalized casino g...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$116,927 to $155,280
Atlantic City, New Jersey area prices
were up 1.5% from a year ago

Provider Contracting Manager in Scranton, PA
In order to properly oversee provider contracts, insurance companies must ensure all the medical professionals they are contracting with are properly credentialed; maintain detailed price sheets to standardize how much they are paying for services; and keep historical records of each account.
December 11, 2019
Provider Contracting Manager in Allentown, PA
The complete report provides the full listing of all companies nominated, as well as benchmark ratings for a listing of 40+ companies in account support and contracting.
January 16, 2020
Provider Contracting Manager in Savannah, GA
The Senior Provider Contract Manager is responsible for developing, negotiating, managing and leading complex contractual, legal and financial arrangements with providers that ensure CCA members have superior access to the highest quality, cost-effective providers of healthcare services.
January 03, 2020