Network Contractor Provider Network Managment
A
AmeriHealth Caritas
📍 Washington, DC, United States
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...