Dir Network Management 116105
Location:
Posted:
March 25, 2016
Reference:
546487927
Responsibleforleadingnetworkmanagementactivitiesforthebusiness,specificallyresponsibleforthetotalcostofcare forasubsetoftheNYmarket(MetroNorth-Bronx,Westchester,NJ&CT).Thefocuswillbeonhospital,largephysiciangroups,hospital-basedphysicianandfacility-basedancillary(i.e.ASCs)contractingandrelationshipmanagement,as wellasprojectmanagementformedicaltrendreductioninitiatives.Essentialdutiesinclude,butarenotlimitedto:leading contractingnegotiationswithhigh-spendfacilities,overseeingandmanagingallothernegotiationsinassignedregion,forecastingunitcosttrendsandmanagingtoforecasts,developingandimplementingplanstoachieveunitcostand medicalmanagementgoalsandtargetsandeffectivelymanagingallassignedcontractrelationshipstoensurecontractcomplianceandprofessional,accurateandtimelyservice.managementdutiestoincludehiring,training,coaching,counselingandevaluatingperformanceofdirectreports.Positionwillalsooverseeandmanageenterpriseprovider paymentinnovationandrewardprogramsthatfocusoneitherhospitalsorphysicians complex. Provider reimbursement experience, leading negotiations with large spend complex providers on high spend facility contracts highly preferred

Hires, trains, coaches, counsels, and evaluates performance of direct reports. Requires a BS/BA degree in business administration or related healthcare field; 8-10 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any combination of education and experience, which would provide an equivalent background. CPA or MBA preferred.
EOE.M/F/Disability/Veteran

Job Provider Network Management

Title: Dir Network Management 116105

Location: NY-New York City

Requisition ID: 116105
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