TechMojo Solutions
From TechMojo Solutions's careers page
Status: listed on the employer's own careers page when we last checked (daily). Confirm on their site before applying.
The role is focused on negotiating and managing a portfolio of network participation agreements.
The Manager, Network Contracting on the Strategic Payer Partnerships team will support and execute Aledade’s network contracts with national and regional health plans. The role is focused on negotiating and managing a portfolio of network participation agreements. In collaboration with senior leadership, the manager will interface directly with payers to negotiate new agreements and manage renewals. This role will have a strong focus on contract lifecycle management, analysis, and maintaining positive payer relationships. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home within the U.S. or from our office in Bethesda, MD. Primary Duties: Negotiation: Negotiate network participation agreements directly with health plans including new agreements, renewals, and amendments Lifecycle Management: Manage and track deliverables and document repositories Identify and mitigate risks ensuring compliance with terms Perform comprehensive rate analyses Track and report on key contract metrics Relationship Management: Collaborate with internal cross-functional teams and stakeholders to successfully execute network participation agreements Develop and maintain high-level relationships with regional and national payer stakeholders Minimum Qualifications: Bachelor’s degree 8+ yrs experience in network contracting or development with health plans or providers Strong understanding of the health plan network participation agreement lifecycle Demonstrated experience navigating complex payer dynamics Strong analytics and risk assessment skills Exceptional communication skills with the ability to establish, sustain, and improve payer relationships Results-oriented with the ability to project manage multiple projects simultaneously Passionate about ensuring providers are fairly reimbursed for the care they deliver Preferred Qualifications: Master’s degree Physical Requirements: Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
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