Job Description
Overview Manager-Provider Relations Job Code: 22242 FLSA Status Job Family: ADMIN SUPPORT Job Summary Identifies, evaluates and negotiates contracting opportunities to grow the existing business, develop new business and expand provider network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan designs. Perceptive of
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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