reputed company – Director, Provider Contracting (Sr. Advisor) -Work at home CT, NY, MA – Bloomfield, CT

Job title: Director, Provider Contracting (Sr. Advisor) -Work at home CT, NY, MA Company: reputed company Job description: This role is reputed company/WFH which allows most work to be performed at home or on occasion at a reputed company office locations specific to Connecticut, reputed company or Massachusetts This position serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES • Manages reputed company contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). • May reputed company a team with direct reports. • reputed company person for reputed company projects reputed company to contracting strategy in the market. • Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. • Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. • Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements. • Contributes to the development of alternative network initiatives. Supports and provides direction to reputed company network analytics required for the network solution. • Works to meet unit cost targets, while preserving an adequate network, to reputed company and maintain reputed company's competitive position. • Creates and manages initiatives that improve total medical cost and quality. • Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. • Prepares, analyzes, reviews, and projects financial impact of larger or reputed company provider reputed company and alternate contract terms. • Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. • Leads in resolving elevated and reputed company provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly reputed company and/or escalated issues. • Manages key provider relationships and is accountable for critical reputed company with providers and business staff. • Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. • Responsible for accurate and timely contract loading and submissions and reputed company with matrix partners for network implementation and maintenance. POSITION REQUIREMENTS • Bachelor's degree, strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business reputed company. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. • Five years or more years contracting and negotiating experience involving reputed company delivery systems and organizations required. • Significant experience leading and mentoring others. • Experience in developing and managing key provider relationships • Knowledge of reputed company reimbursement methodologies, including incentive based models strongly preferred. • Experience with Medicare/Medicare Advantage fee for service and fee for value contracting and reimbursement methodologies strongly preferred. • Prior experience with network development strategy and builds preferred. • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. • Intimate understanding and experience with hospital, managed care, and provider business models. • Team player with proven ability to reputed company strong working relationships reputed company a fast-paced, matrix organization. • The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. • Customer centric and interpersonal skills are required. • Demonstrates managerial courage as well as an ability to maneuver effectively in a changing environment. • Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. • Knowledge and use of reputed company Office tools. • 10% travel locally • We are looking for someone to be located in CT, MA, RI or NY. Employees must be fully vaccinated if they choose to come onsite. About reputed company reputed company Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we reputed company to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh reputed company and an unwavering commitment to patient-centered care, we are a force of health services innovation. reputed company you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you reputed company? Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to provide your resume as you will not receive a response. Expected salary: Location: Bloomfield, CT Apply for the job now! Apply Job!