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Network Provider Contract Manager

Company: Unity Health Insurance
Location: Waukesha
Posted on: June 6, 2021

Job Description:

Overview

Do you love networking? Are you a strategic relationship builder who is interested in establishing strong, impactful relationships with healthcare professionals? Are you known as an effective liaison and "influencer," with the ability to negotiate favorable outcomes and win-win scenarios?

If so, please consider joining our legal team as a Network Provider Contract Manager. This role will serve as a vital connection between Quartz and its network of healthcare provider partners. Provider Contract Managers conduct outreach and activities designed to facilitate provider participation within the network, address provider needs, enhance and ensure effective communication between providers and the organization, and integrate administrative and contractual arrangements to the mutual benefit of all parties.

Benefits:

  • Ability to work autonomously to build independent, effective relationships with provider partners
  • Encouragement to think "outside the box" in finding new ways to partner with providers and fulfilling current provider partner needs
  • Make an impact on a fast-growing organization in an ever-changing industry
  • Flexible work environment with strong work/life balance
  • Full-time virtual, telecommuting, work from home option available, with flexibility to meet with providers across the State of Wisconsin

Responsibilities

  • Work with network healthcare providers to identify new partnership opportunities through advanced reimbursement methodologies and arrangements.
  • Negotiate and maintain contracts with providers; disseminate information regarding any new or ongoing contractual expectations to pertinent parties across the company.
  • Regularly communicate with and visit providers to ensure the needs of all parties are met; follow-up should be timely, professional, and well-organized.
  • Ensure network adequacy requirements are being met for all Quartz product lines within the assigned territory, and assist with network refinement, as needed.
  • Encourage participation in provider quality programs, and ensure measures and goals align with the corporate mission and strategic and tactical plans.
  • Fulfill provider network expansion goals, assuming primary responsibility for and coordinating initial contracting with providers in new service areas.
  • Coordinate and encourage provider participation at annual meetings, along with staff participation in supporting network healthcare provider initiatives.

Qualifications

  • Bachelor's Degree in Business or Healthcare Administration; equivalent experience may be considered.
  • 5+ years of experience working within a health plan or hospital setting, with an emphasis in healthcare reimbursement, provider networking, and/or negotiations
  • Valid driver's license, with the ability to travel throughout the assigned territory to visit providers, as needed.
  • Knowledge of physician and other provider practices, methods, and common needs.
  • Excellent oral and written communication skills, with the ability to work with a high degree of diplomacy and influence to build effective relationships with external stakeholders, providers, and staff at all levels within the organization
  • Proven ability to work well under pressure and independently manage multiple assignments and relationships simultaneously to complete projects in a timely manner
  • Effective relationship builder who can professionally represent the organization's strategy, goals, and direction to external parties
  • Access to a stable, high-speed, non-satellite Internet connection (required for candidates interested in full-time telecommuting opportunities)

Bilingual candidates encouraged to apply!

This position will start working remotely due to the COVID-19 pandemic. As the pandemic situation improves, the position has the option to transition to work from one of our offices located in Madison, WI, Onalaska, WI, or Sauk City, WI or continue working remotely. Candidates must be able to travel regularly throughout their assigned territory within the state of Wisconsin to meet with providers. Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.

Quartz offers an excellent benefit and compensation package, opportunity for career advancement and a professional culture built upon the foundations of Respect, Responsibility & Relationships.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Keywords: Unity Health Insurance, Waukesha , Network Provider Contract Manager, Other , Waukesha, Wisconsin

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