Principal Network Management Consultant

Responsibilities

• This position is responsible for provider recruitment and contracting of facilities (large independent hospital systems, integrated & non-integrated systems, value-based contracting, etc.).
• Develop and negotiate hospital contracts.
• Develop and maintain relationships with hospitals.
• Ensure strategic coverage for assigned territory.
• Responsible for education of providers and for ongoing provider service.
• Provide subject matter expertise to improve efficiency and results.

Requirements

• Bachelor Degree and 4 years provider contracting experience OR Master degree and 3 years contracting experience OR 8 years business experience including 4 years provider contracting experience.
• Contracting experience involves negotiating reimbursements, financial arrangements and rates.
• Extensive knowledge of provider and facility contracting, products, and claims/processing systems.
• Negotiation skills.
• Relationship building skills.
• Knowledge of marketplace.
• Meet deadlines and work well under pressure.
• Verbal and written communication skills to interact with all levels of corporate personnel and providers.
• PC proficiency to include Microsoft Office.
• Analytical skills and business acumen to analyze financial data to determine financial impact of negotiations.
• Ability and willingness to travel within assigned areas of responsibility, including overnight stays.

Hard Skills

• provider contracting
• negotiating reimbursements
• financial arrangements
• claims processing systems
• contract negotiation
• financial data analysis
• business acumen

Soft Skills

• relationship building
• negotiation skills
• verbal communication
• written communication
• ability to meet deadlines
• work under pressure

Certifications & Qualifications

• Bachelor Degree
• Master Degree

Industry Keywords

• provider recruitment
• hospital contracts
• strategic coverage
• value-based contracting
• marketplace knowledge

Tools & Technologies

• Microsoft Office