Job Description
**Work Arrangement:**
This position is a 4 days / week hybrid position in our DC office located at 1201 Maine SW.
As a Provider Network Management Contractor, you will be responsible for the contracting and re-contracting of providers in an established market.
**Responsibilities**
+ Supports network development strategy.
+ Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication.
+ Responsible for negotiating contracts to execute on network strategy and ensure an adequate, compliant and marketable network.
+ Responsible for negotiating Single Case Agreements (SCA) rates and converting SCA providers to contracted.
+ Responsible for recruiting and contracting providers based on identified network adequacy gaps (high complexity).
+ Ensures all contracts are negotiated to be compliant with Federal and State rules, regulations, policies and procedures and follow all d...
This position is a 4 days / week hybrid position in our DC office located at 1201 Maine SW.
As a Provider Network Management Contractor, you will be responsible for the contracting and re-contracting of providers in an established market.
**Responsibilities**
+ Supports network development strategy.
+ Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication.
+ Responsible for negotiating contracts to execute on network strategy and ensure an adequate, compliant and marketable network.
+ Responsible for negotiating Single Case Agreements (SCA) rates and converting SCA providers to contracted.
+ Responsible for recruiting and contracting providers based on identified network adequacy gaps (high complexity).
+ Ensures all contracts are negotiated to be compliant with Federal and State rules, regulations, policies and procedures and follow all d...
Ready to Apply?
Take the next step in your AI career. Submit your application to AmeriHealth Caritas today.
Submit Application