Healthcare Provider Network Negotiator | PNN

(Job ID#:  BST80116)

Posted: 6 November 2018 — Location: Orlando, FL — Compensation / Benefits: $ 130 to $ 145 k (permanent) + Great Bonus Potential + Comprehensive Benefits

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Are you an experienced healthcare Network Negotiator / System Director with Hospital-based physician network experience in insurance negotiations?

If so, our Florida Healthcare System located near Orlando is in need of a talented individual with these qualifications. As part of our reimbursement department, this role will 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.



MINIMUM POSITION REQUIREMENTS:

  • Minimum 5 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 annual base salary range, plus excellent bonus potential. We also provide excellent benefits, as well as relocation assistance with this position.



POSITION OVERVIEW:

  • The System Director / PNN 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 OPPORTUNITY or CONTACT BEVERLY SLOMKA:

For more info about this opportunity, you may contact Beverly at (718) 837-5413. To apply for this role, you may use the link provided below or EMAIL your CV / Resume to [email protected]. You may send via FAX at (877) 878-1970. When contacting our team, please reference job# BST80116.



ABOUT BEVERLY:

Beverly Slomka has a highly diverse background with over 20 years as a VP and Business Manager for Merrill Lynch, as well as significant experience in Healthcare Administration and Patient Advocacy. She has worked in an executive search capacity for over 15 years, and is highly respected throughout the industry for her Finance & Healthcare expertise.




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