Manager Network Contracting
Company: CHRISTUS Health
Posted on: January 13, 2022
Summary: The Manager of Network Contracting is responsible for
collaborating across organization in the execution of the network
strategy for all US Family Health Plan and CHRISTUS Health Plan
product lines. Leads negotiations and guides contractors throughout
the contract negotiation process.
Ensures that the networks and supporting contracts are in
compliance with standards, reimbursement, legal, financial,
quality, controls, etc.
Ensures health plan compliance with regulatory network requirements
by monitoring network adequacy and identifying recruitment
Ensures providers are accurately and timely loaded into provider
Oversees the development of reimbursement models in concert with
senior leadership. Communicates new strategies for
Oversees the development of provider contracting strategies,
identifying those specialties and geographic locations where
network expansion is necessary.
Oversees the maintenance of all Provider Contract Templates. Works
with legal and Network Director on an as needed basis to modify
contract templates and ensures compliance with all contractual
and/or regulatory requirements.
Utilizes standardized contract templates and Pay for Performance
Responsible in maintaining strong business relationship with the
hospital systems and large provider groups. Requirements:
Education: Bachelor's Degree Business Administration, Healthcare
Administration or a related field and exemplary experience
required. Master's Degree in Business Administration, Healthcare
Administration or a related field strongly preferred.
Strong presentation, analytical and negotiation skills.
Effective oral and written communication skills.
Seven (7) or more years of significant experience in provider
network contracting. Ten (10) or more years preferred.
Knowledgeable and compliant with all relevant laws, rules
regulations, accreditation standards and requirement. Work Type:
Keywords: CHRISTUS Health, Irving , Manager Network Contracting, Executive , Irving, Texas
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