Senior Operations Support Lead Analyst providing comprehensive operations support services for Citi's Servicing Division. Ensures risk management integration and process compliance across various business groups.
About the role
- Provider Contract Operations Specialist negotiating healthcare provider contracts and managing relationships in health insurance sector. Focusing on compliance and financial terms while ensuring member access.
Responsibilities
- Analyze financial impact of contracts and terms
- Maintain contracts and documentation within a tracking system
- May assist with identifying and recruiting providers based on network composition and needs
- Communicate contract terms, payment structures, reimbursement rates to providers internal and external members
- Negotiate and maintain contracts with MSO or primary care providers to ensure our network meets regulatory and business requirements
- Manage relationships with key providers to support member access, minimize disruption, and maintain competitive advantage
- Ensure contract terms are implemented and that our organization is protected from risk, both financially and legally
- Support cross-functional teams with updates on contracting status, rate changes, and network developments
Requirements
- 2 or more years of experience in negotiating or servicing HMO managed care contracts
- Proficiency in Understanding of contract terms, payment structures and reimbursement rates
- Experience with public speaking or presentation skills and with provider facing communication
- Experience with Value-based Contracting
- Proficiency in MS Office Word and Excel (IE pivot tables, formulas, v-look up)
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
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