Managed Care - Contracting & Network Development, Dir. 8/23/2016

ALC Staffing Associates Milwaukee, WI

Company
ALC Staffing Associates
Job Classification
Full Time
Company Ref #
29192805
AJE Ref #
575962955
Location
Milwaukee, WI
Job Type
Regular

JOB DESCRIPTION

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Director, Contracting & Network Development-Managed Care Experience
Ability to travel
Milwaukee, WI
Salary: $110K-$135K + 20% Bonus
Local Relocation Assistance Available

Job Description:

Managed care experience.

Contract negotiation provider relations relationship building ability.

Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.

*Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit's policies and standards, government laws and regulations.

*Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.

*Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources.

*Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives.

*Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets.

*Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning.

*Ability to travel.

Qualifications:

*Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience.

*7+ years of combined contracting, network development or provider relations experience.

*Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements.

*Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff.

*Valid driver's license.

Benefits Offered:

*Vision
*Medical
*Life
*Dental
*401K