Shire Veteran Jobs

Job Information

Blue Cross and Blue Shield of Illinois, Montana, N Principal Network Mgmt Cons - Houston in Houston, Texas

Description:

BASIC FUNCTION:This position is responsible for provider recruitment and contracting of physicians, physician groups and facilities including large or complex groups/facilities (large independent hospital systems, integrated & non-integrated systems, value based contracting, etc.). Develop and negotiate contracts. Develop and maintain relationships with providers. Ensure strategic coverage for assigned territory. Responsible for education of providers and for ongoing provider service. Provide subject matter expertise to improve efficiencies and results.

JOB 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.

#CA #LI-NR1

Location: TX - Houston

Activation Date: Wednesday, October 13, 2021

Expiration Date: Saturday, October 30, 2021

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