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)
FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry.
FourStone Partners, a fast growing company in West Chester, PA, is seeking individuals to assist with workers’ compensation provider network recruitment efforts. Potential candidates should be high energy and self-motivated, customer service oriented, and have excellent negotiation and communication skills. Experience with provider recruitment for PPOs, hospital, diagnostic imagining, or PT networks is preferred though not required. Candidates with managed care or healthcare experience are preferred. Position is available to be remote.
Summary of Main Responsibilities:
FourStone Partners recognizes that our greatest assets are our employees. We strive to create a mutually rewarding work environment to ensure employee engagement, recognition, and professional development. Our total rewards package includes a competitive salary, excellent benefits, traditional and Roth 401(k), educational assistance, life insurance, and ongoing rewards and recognition. These programs aim to protect your health, your finances, and ultimately your peace of mind. Come join our team!
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