Job Summary
A company is looking for a Network Contract Manager.
Key Responsibilities
- Manage unit cost budgets, target setting, and performance reporting
- Guide the development of competitive provider networks to achieve cost performance objectives
- Evaluate and negotiate contracts in compliance with company standards
Required Qualifications
- 2+ years of experience in a network management-related role
- Experience with financial models and analysis for provider negotiations
- Experience in performing network adequacy analysis
- Knowledge of Medicaid and/or Medicare
- Intermediate knowledge of claims processing systems and guidelines
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