Andvaris Inc’s Post

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New Job Alert! Provider Contracting Manager What We Do? We’re one of Florida’s oldest and largest not-for-profit health plans, offering Medicare Advantage coverage in Miami-Dade and Broward counties, Individual and Family coverage in various counties including Miami-Dade, Broward, and Palm Beach, and coverage for Employer Groups across 52 counties in the state. What is a Provider Contracting Manager? A Provider Contracting Manager at our organization is pivotal in enhancing our provider network through strategic contracting and relationship management. This role is essential for improving our network’s quality, affordability, and patient satisfaction through effective Value-Based provider contracting. Schedule and Shift: The position is hybrid, allowing for a mix of remote and on-site work. Regular working hours are Monday to Friday, 8:30 AM to 5:30 PM. 16 month project  Responsibility: Manage negotiations and contracts with primary care providers. Create and execute recruitment plans and contracting strategies. Collaborate with internal teams to select high-quality, cost-effective providers. Develop and maintain strong relationships within the provider network. Ensure compliance with healthcare laws and regulations. Utilize data and software tools for negotiation and performance improvement. QUALIFICATIONS: Bachelor’s degree required, Master’s preferred in Business Administration or a healthcare-related field. 6-10 years of experience in health plan provider network contracting, with a preference for those with hospital & ancillary contracting and value-based contracting experience. Strong communication skills and proficiency in Microsoft Office suite. Ability to travel up to 40% as required Health plan experience in provider network contracting/service. Experience with hospital & ancillary contracting or value-based contracting. Basic knowledge of provider data system configuration and credentialing. Experience or knowledge of claims payment processes required. An equivalent combination of education and experience may be considered. Apply Now - https://lnkd.in/gFQYdagi

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