Provider Network Operations ConsultantPrimary Location: Richmond, Virginia
Additional Locations: VA-Richmond Apply
- Responsible for reviewing, building, loading, and auditing complex contracts, agreements, amendments and/or fee schedules in contract management systems.
- Conducts research, analysis and/or audits to identify issues and propose solutions to protect data, contract integrity and performance.
- Provides technical expertise for questions related to contracting and related systems and information contained. Partner across the organization to support network development, maintenance, refinement activities, regulatory filings, migration and rate activities.
- May coordinate complex contracting activities, implementation, coordinate receipt and processing of contracts and documentation and pre-and post-signature review of contracts and language modification.
- Collaborates on negotiations or may handle contracting and re-contracting discussions with solo providers or small groups.
- May conduct or assist with service activities such as provider education, technology usage, or process updates.
- May recruit providers in support of network management and expansion initiative or analyze market data for outreach mailings to desired expansion targets .
- 3 years related experience.
- Knowledge of basic negotiating skills desired.
- Proven working knowledge of standard provider contracts, terms and language desired.
- Strong communication, critical thinking, problem resolution and interpersonal skills.
- Bachelor’s Degree or equivalent combination of education and experience.
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