VCN Healthcare Jobs

Virtual Career Network Healthcare mobile logo

Job Information

Ewings Associates, Inc. Healthcare Provider Network Contractor in Miramar, Florida

Reference # :19-00004Title :Healthcare Provider Network ContractorLocation :Miramar, FLExperience Level :Start Date / End Date :02/04/2019 / 12/27/2019 Description* Hiring for this position has paused. We encourage you to apply, as we would like to consider you for future openings. * EWINGSis in search of Healthcare Provider Network professionals for a telecommute assignment supporting our client Optum in their efforts to build provider networks across 38 states for the Department of Veteran Affairs.POSITION DESCRIPTION: Healthcare Provider Network Contractor - Develop a provider network yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance, trend management, and produces an affordable and predictable product for customers and business partners. Provider network contractor will evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining relationships with providers ensuring the network composition includes an appropriate distribution of provider specialties.REQUIREMENTS: 2+ years of experience in a network management-related role, such as contracting or provider services. Managed care work experience contracting or recruiting a range of healthcare providers including physicians, hospitals, specialists, ancillaries. Knowledge of reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS) preferred. At least an intermediate level of knowledge of claims processing systems and guidelines. Intermediate level of experience with MS Excel required. Excellent verbal and written communication skills.Please apply for the position nearest to you atwww.ewingsinc.comEWINGS, INC. www.ewingsinc.com

DirectEmployers