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. Lead 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 process
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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