Ancillary Contract Manager

Role Overview

• Responsible for the overall development and maintenance of the ancillary and facility PPO network contracts
• Contracting and rate negotiation functions
• Requires strong negotiation skills
• Understanding of healthcare contracting and compliance
• Foster and manage relationships to improve network efficiency and access for clients
• Establish targets for recruitment
• Rate negotiations
• Contract language negotiations
• Establishing and maintaining relationships
• Provider education
• In-person visits and follow-up
• Develop strategy for network expansion and maintenance
• Identify network needs in both new and existing service areas
• Investigate options, targets, and recruits
• Act as liaison between ancillary/facility and appeal department
• Negotiate rates and contract language for execution
• Assist with credentialing and recredentialing process
• Renegotiate/renew existing contracts
• Assist with development of Request for Proposals and contract updates
• Support Client Services and Sales teams

Requirements

• Minimum of five years' experience in health care
• Minimum of three years in provider/payor contracting
• Knowledge of the hospital, ancillary and physician communities
• Experience interacting with providers in practice or a managed care organization
• Knowledge of provider recruitment and contracting
• Knowledge of reimbursement methodologies for providers, ancillaries and hospitals
• Excellent verbal, written and organizational skills
• Working knowledge of MS Outlook, Word, Excel
• Valid driver’s license
• Self-motivating and ability to work independently and within a team.