Senior Contract Negotiator-Healthcare

KP Recruiting Group Columbus, OH
Job description
Position Purpose: Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines.
 
  • Oversee all negotiations for a specific plan or provider type (large professional groups, hospitals, etc.)
  • Assist with plan specific contracting strategy
  • Manage delivery of financial settlements and collections of receivables
  • Evaluate and monitor providers’ performance standards and financial performance of contracts
  • Develop contracting action plans
  • Coordinate with internal departments and contracted providers to implement and maintain contract compliance
Qualifications:
Education/Experience: Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field or equivalent experience. 4+ years of contracting or provider relations experience in a healthcare, managed care, or insurance related environment.