Location : Must reside in Florida and will support providers in the northern part of the state. Specifically, Bay, Calhoun, Franklin, Liberty, Gulf and Jackson counties.

Develops the provider network through contract negotiations (language and rates), relationship development, and servicing.

PRIMARY DUTIES:

• Primary focus of this role is contracting and negotiating contract terms.

• Typically works with less-complex to complex providers.

• Providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health system, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required.

• Contracts may involve non-standard arrangements that require a moderate level of negotiation skills.

• Value based concepts understanding. Fee schedules can be customized.

• Works with increased independence and requires increased use of judgment and discretion.

• May work on cross-functional projects requiring collaboration with other key areas.

• Serves as a communication link between professional providers and the company.

• Conducts more complex negotiations and drafts documents.

• Assists in preparing financial projections and conducting analysis as required.

Minimum Requirements:

Requires a BA/BS degree and a minimum of 3 years’ experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experience:

• Proficiency in Microsoft applications especially Microsoft Excel and OneNote.

• Prior experience with Medicaid, Medicare, and/or Managed Care Organizations.

• Prior experience in servicing providers, customers, or clients.

• Prior experience in hosting meetings and presenting information to internal and external parties.

• Organization and Time Management Skills.

• Prior experience in contracting or negotiations.

• Possess strong communication, problem solving and analytical skills.

• Travel to provider office as necessary.