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)
Job Summary:
The Manager of Managed Care will report directly to the Vice President of Managed Care and will be responsible to lead the Managed Care Specialist and Ancillary Contractor in single case agreements (SCA’s), credentialing, and assisting with managed care contracts, including Pay for Performance and Centers of Excellence.
Responsibilities:
Experience:
Education:
Bachelor’s degree in Finance, Business Administration, Hospital Administration, or a closely related field, required. Master’s degree, preferred. Licenses / Certifications. N/A
Other:
Special Requirements:
About Us:
NorthEast Provider Solutions Inc.
Benefits:
We offer a comprehensive compensation and benefits package which includes:Clear All
0 Provider Contracting Manager jobs found in New York, NY area