NETWORK DEV & CONTRACT MGR in Louisville, KY at Beacon Health Options

Date Posted: 4/2/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic a  Network Development  and Contract Manager to join our team at our office in  Louisville, KY.  The  Network Development and Contract Manager leads all territory network development and contract management activities for a growing and complex managed behavioral health care organization.   The position is responsible for network development, contracting, and rate negotiations for their assigned territory.  Travel within the state of Kentucky to provider offices is required. 

Position Responsibilities:

  • Negotiate rates and contract terms with currently contracted and new providers, around Beacon’s need for services, draft provider services agreements, oversee the resolution of language changes and secure executed contracts with providers.
  • Develop recruitment plans and ensure rates negotiated are within established guidelines.
  • In conjunction with internal and external stakeholders, secure executed agreements with identified out of network providers for inclusion in the Beacon Health network.
  • Perform reimbursement analysis on providers that are outside of the targeted rate schedule or performance standards and develop strategies for cost reductions, member needs and increasing quality.
  • Ensure that Contract Language is in compliance with plan agreements and within all state and federal regulatory and NCQA standards.
  • Strategize with other members of the management team and client/plan to ensure access and availability of providers meets current standards

Position Requirements:

Education :  Minimum of a Bachelor’s Degree in a related field (healthcare administration, behavioral sciences, business, project management), Master’s preferred.

Relevant Work Experience :    Three years’ experience with rate & contract language negotiation.

Knowledge, Skills & Abilities :

  • In-depth knowledge of professional, and some facility, provider reimbursement methodologies
  • Working experience with contracts and negotiating contract language changes
  • Comfortable interacting with all levels of organizational management
  • Excellent business acumen

TO APPLY

Click below on  “Apply for this Position” to create a profile and apply for the position.

Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled