Director, Network Management - Leading Insurance Company (Cincinnati, OH) in Cincinnati, Ohio For Sale
Background/Experience Desired:Must possess a successful track record negotiating large hospital system contracts.EducationThe highest level of education desired for candidates in this position is a Bachelors degree or equivalent experience.Functional ExperiencesFunctional - Network Management/Contract negotiation/5-7 YearsFunctional - Network Management/Physician recruiting - medical/5-7 YearsFunctional - Management/Management - Health Care Delivery/5-7 YearsFundamental Components:Effectively negotiates complex, competitive contractual relationships with providers according to prescribed guidelines in support of national and regional network strategiesManages provider compensation/reimbursement and pricing development activitiesResponsible for understanding and managing medical cost issues and initiating appropriate actionProvides sales and marketing support, community relations and guidance with comprehension of applicable federal and state regulationsAct as SME for NAMs supporting large physician group contractingSupervise day-to-day operations of network management teams/unitsAssist with the design, development, management, and/or implementation of strategic network configurationsManages local Provider Relationship Management, Organization Orientation, Provider Advocacy
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