Job Description
ESSENTIAL FUNCTIONS · Develop and maintain positive, effective relationships with internal and external customers and serve as the contracting liaison between contracted Payors and providers. · Conduct contract analysis and negotiations with Payors on behalf of providers including rates, payment methodologies, contract language and value- based payment programs in accordance with internal control
8:00 AM
Review a contract amendment proposal from Cigna. They want to roll back reimbursement rates on 12 procedure codes by 8%. You pull…
9:30 AM
Modeling session. You're building a financial model in Excel showing the impact of three different negotiation scenarios for the u…
11:00 AM
Contract negotiation call with Blue Cross Blue Shield. You've been at the table with them for six weeks. Today's agenda: hospital-…
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