Contract Negotiator I

» Contract Negotiator I
Legal
in Chesterfield
, MO
Reference: 19-03179

Description:

  • Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with corporate, health plan and state guidelines
  • Ensure that all necessary documentation and information are included

Responsibilities:

  • Recruit and develop network for a region and set of providers
  • Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives
  • Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication
  • Initiate contact and identify potential providers by geographic and specialty needs and update database
  • Coordinate with internal departments and contracted providers to implement and maintain contract compliance

Education/Experience:

  • Bachelor’s degree in Healthcare Administration, Business Administration, Finance, related field or equivalent experience
  • 0-2 years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician’s office or group setting
  • Familiarity with State and/or federal health care programs preferred (Medicaid, Medicare)