Physician Provider Network Negotiator (PNN)

(Job ID#:  BL5995)

Posted: 9 October 2018 — Location: Orlando, FL — Compensation / Benefits: $ 130 to $ 145 k (permanent) + Great Bonus Potential + Comprehensive Benefits

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Are you a System Director / PNN with Hospital-based physician network experience in insurance negotiations?

If so, our Florida Healthcare System located outside of Orlando is in need of a talented individual with these qualifications to be responsible for negotiating fee-for-service hospital and medical group contracts. The contracts will cover multiple lines of business in managed care markets, and will maintain provider participation within the network of our health system, while helping expand and develop our provider network. The position will be part of the reimbursement department.



PRIMARY REQUIREMENTS:

  • 5-7 years' background in progressive provider network contract negotiation or equivalent experience / education.

  • MUST HAVE hospital-based experience in ACO, Population Health, Managed Care, and Value Based Contracting.

  • MUST HAVE contract negotiation experience with Blue Cross, Aetna, etc.

  • Bachelor's Degree minimum, with Master's Degree completed within 2 years of hire.

  • Must have 2 or more years' minimum supervisory experience.

  • Requires excellent project management and negotiation skills, as well as superior leadership and motivational skills.



SALARY, BONUS POTENTIAL and RELOCATION:

$130,000 to $145,000 per year, plus excellent bonus potential. We also provide excellent benefits, as well as relocation assistance with this position.



POSITION RESPONSIBILITIES:

  • The System Director/Provider Network Negotiator will analyze market data and financial models.

  • Prepare, document and negotiate provider contracts.

  • Monitor provider performance.

  • Identify current issues, as well as probable future issues, and guide staff through resolution.



APPLY for this POSITION or CONTACT BEVERLY SLOMKA:

For questions or inquiries, contact Beverly at (718) 837-5413. To apply for this opportunity, you may use the link provided below or EMAIL your Resume / CV to [email protected]. You may also send by FAX to (877) 878-1970. All received documents and inquiries remain strictly confidential. When contacting our team, please reference job# BL5995.



ABOUT BEVERLY:

Beverly Slomka worked for more than 20 years as a VP and Business Manager for Merrill Lynch, and has significant experience in Healthcare Administration and Patient Advocacy. She is also an award winning author of a job preparation guide for young adults. For the past 15 years, she has worked in an executive search capacity, and is highly respected throughout the industry for her Finance and Healthcare expertise.



ABOUT STAFFPOINTE:

StaffPointe has been at the forefront of the recruitment industry since our inception in 2002. From rural Clinics to large, multi-site Hospital systems, our firm works with clients all across the United States and has helped thousands of medical professionals with their job search. Our dynamic team of recruiters are highly knowledgeable, operate with the highest level of integrity, and have a stellar track record of success.




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