Sedgwick · 10 hours ago
Contract Manager
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BankingInsurance
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Responsibilities
Negotiates fee-for-service hospital and medical group contracts for multiple lines of business in the managed care markets.
Analyzes market data and financial models.
Prepares, negotiates, and administers provider contracts.
Develops and expands provider participation within the network.
Maintains provider participation within the network.
Monitors provider performance; implements corrective action plans.
Identifies current issues and probable future issues; guides staff through resolution.
Documents contracts; updates contracts as changes occur.
Coordinates customer inquiries.
Performs other duties as assigned.
Supports the organization's quality program(s).
Qualification
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Required
Four (4) years of progressive provider network contract negotiation experience or equivalent combination of education and experience
Strong project management skills
Excellent negotiation skills
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Leadership/management/motivational skills
Analytical and interpretive skills
Strong organizational skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Computer keyboarding, travel as required
Hearing, vision and talking
Preferred
Bachelor's degree with major in Health Services or Hospital Administration from an accredited college or university
Experience in a healthcare management environment including provider contracting, servicing and benefit interpretation
Two (2) years supervisory experience
Benefits
Medical
Dental
Vision
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Company
Sedgwick
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions.
H1B Sponsorship
Sedgwick has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (3)
2022 (9)
2021 (14)
2020 (9)
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersCaisse de Depot et Placement du Quebec
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Recent News
2024-11-15
2024-03-04
2024-01-22
Company data provided by crunchbase