Fuel Portfolio Manager leading Fuel Contract Managers at Westinghouse Electric Company. Responsible for ensuring contract deliverables and achieving business plan objectives in nuclear energy sector.
About the role
- Contract Manager at Network Health managing healthcare provider relationships. Responsible for contract negotiations, relationship management, and health care contract analyses.
Responsibilities
- Successfully manages the Managed Care Contracting prospective, renewal and termination negotiation processes as they relate to: Network Health, HMO/POS; third party administrators and self-funded employers, Accountable Care Organizations (ACO).
- Accountable for establishing and maintaining positive relationships with internal departments, Network Health executive leadership and for any of the following prospective and/or existing external group: Network Health HMO/POS and third-party administrators.
- Serves as the individual accountable for the overall relationship between Network Health and selected contracted providers.
- Specific duties include establishing the initial contact with contracted providers setting and/or maintaining the tone for the desired Network Health provider agreements.
- Conducts managed care contracting related research and analysis including developing compensation/reimbursement structures and contract terms/conditions.
- Evaluates best-fit options for continued negotiations.
- Prepare executive summaries and recommendations.
- Initiates contract implementation process.
- Maintains effective communication throughout contract terms and communicates contract updates and changes as needed.
- Requests audits from the Provider File Specialist and evaluates contracting terms.
- Provides leadership for department, and Network Health special projects
Requirements
- Bachelors degree in a related field is preferred or eight years of equivalent experience may be substituted.
- Minimum of four years of experience in the health care industry (hospital, health insurance, or physician practice).
- Minimum of two years health services negotiation and provider/customer service experience, preferably health insurance and/or provider.
- Advanced health care financial, reimbursement and utilization data and analysis skills.
- Working knowledge of medical terminology, health care billing/coding, reimbursement and insurance benefit methodologies.
- Exceptional customer service/relationship management skills.
- Ability to prioritize multiple tasks and projects.
- Self-guided and motivated to achieve deliverables in a timely fashion.
Benefits
- Health insurance
- Paid time off
- Remote work options
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Senior Project Manager managing PV ground - mounted systems and BESS projects. Leading projects from development to commissioning while ensuring clear processes and local impact.
Gerente de Desenvolvimento de TI na SCCON, líder em tecnologia geoespacial. Gerenciar equipe de TI e desenvolver soluções sustentáveis.
Assistant Demand Planning Manager at LUXASIA managing demand forecasting and supply planning for luxury beauty brands. Collaborating with cross - functional teams to ensure effective supply chain processes.
Manager of Compensation & Benefits at BHTC managing multi - geography compensation topics and overseeing HR operations with diverse teams.
National Performance Manager driving execution of Preferred Rewards for Business at Bank of America. Collaborating across banking divisions to ensure success and improve client experiences.
Performance Manager at Bank of America creating competitive plans to enhance client relationships and workforce effectiveness. Focus on client experience, analytics, and collaboration with teams across the business.
Independent Technical Assessment Manager at Bank of America guiding technology compliance efforts. Collaborating across teams to ensure alignment on risk management and operational excellence.
Plant Manager leading operations at ZF's Electronics Plant in Częstochowa, driving performance and efficiency while ensuring strategic alignment with company goals.
Manager overseeing High End beverage brand execution in Las Vegas while building relationships with wholesaler partners. The role focuses on driving trial and sales execution through field sales programs.