Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Description
Work Type: Full Time
The Practice Manager is responsible for operational management of the practice(s) and is required to exercise a high degree of independent judgment and creativity to identify opportunities and problems, analyze data, develop initiatives and solutions and meet program goals. Responsibilities include day to day operational management, revenue integrity, budgeting, facilitating provider relations and managing within hospital policies, procedures and contracts.
JOB RESPONSIBILITIES (Essential Job Functions)
Requirements
MINIMUM QUALIFICATIONS: