Director Provider Contracting

Highmark Health

Multiple Locations, US
Base: $129,100.00 - $214,500.00; bonus/equity: not...
Direct provider contract negotiations
Develop provider strategies
Manage reimbursement methodologies
This job is responsible for directing negotiation of the plan’s key contracts with health care providers

Job Summary

  • This job is responsible for directing negotiation of the plan’s key contracts with health care providers.
  • Responsible for the development, implementation, maintenance, and updating of the plan’s multiple fee schedules and payment methodologies.
  • Generally coordinates and has primary responsibility for all provider reimbursement activities within the Plan.

Matching Summary

This job is responsible for directing negotiation of the plan’s key contracts with health care providers.

Salary

Base: $129,100.00 - $214,500.00; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Direct provider contract negotiations
  • Develop provider strategies
  • Manage reimbursement methodologies
  • Analyze financial data
  • Build strategic provider relationships

Nice-to-have

  • Act as external spokesman
  • Interface with corporate officers
  • Evaluate consultant recommendations
  • Facilitate credentialing database functionality

Key Requirements

  • Bachelors’ degree in business, finance, information management, healthcare administration or health related discipline or relevant experience
  • 5 years of experience in health care administration/delivery/finance
  • 3 years of experience in a management role

Work Rights

Not specified

Tailored Resume

Cover Letter