Network Contract Manager

Network Contract Manager

Presbyterian is seeking a Network Contract Manager. The Provider Network Specialist is responsible for identifying network expansion opportunities and facilitating key recruitment related activities. The Provider Network Specialist drafts, reviews, negotiates and finalizes standard provider agreements, which includes but is not limited to single financial agreements based on sound analytical principles and approaches. The Provider Network Specialist provides implementation and ongoing support to Value Based Reimbursement and Value Based Program providers. The NCM I work assignments involve a low to moderately complex of variable factors. Work with minimal guidance; seek guidance on complex tasks.

This is a Full Time position - Exempt : Yes

Job is based at Rev Hugh Cooper Admin Center

Work hours : Days

Ideal Candidate : Progressive network management experience including provider contracting and network administration in a healthcare organization. Experienced in negotiating managed care contracts with physician groups, ancillary providers and hospital systems.

Qualifications

• High School Diploma required.
• 1 to 3 years of progressive network management experience including provider contracting and network administration in a healthcare organization.
• Experienced in negotiating managed care contracts with physician groups, ancillary providers and hospital systems.
• Basic Knowledge of Medicare reimbursement methodologies.
• Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers.
• Excellent written and verbal communication skills
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency in MS Office applications
• Must be passionate about continuously improving provider experiences

Responsibilities

Benefits

Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.

The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift cards and other incentives.

As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.

AA / EOE / VET / DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Maximum Offer for this position is up to

USD $35.29 / Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.