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VNS Health · 17 hours ago

Contract Specialist (Hybrid)

New York, NY

Full-time, Contract

Hybrid

Mid, Senior Level

$70K/yr - $88K/yr

5+ years exp

VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. They are seeking a Contract Specialist to review contracts, negotiate provider agreements, and ensure compliance with regulations while supporting network alignment with the company's product offerings.

CharityHealth CareHome Health CareNon Profit

Responsibilities

Negotiates contractual terms, services and rates of reimbursement with providers to foster network expansion and maintenance within established guidelines

Negotiates single case and letter of agreements for out of network providers

Reviews contracts to ensure regulatory and financial compliance

Ensures that all contract templates are compliant with State and Federal guidelines

Manages the implementation of key agreements

Works with other VNS Health business units to coordinate efforts and leverage resources in provider contracting, network performance, reimbursement and other related matters

Keeps abreast of current industry trends, governing regulations, reimbursement practices and market players

Keeps VNS Health Plans management informed of trends/changes and makes recommendations based on this information

Participates in special projects and performs other duties as assigned

Qualification

Contract negotiationRegulatory complianceProvider network managementHealthcare experienceContract administrationAnalytical skillsCommunication skills

Required

Associate's Degree in related field, or an equivalent combination of relevant education and experience required

Minimum three years of related experience in health care or related field, with a total of 5 or more years in a professional working environment required

Experience working with network service providers and negotiating/administering contracts required

Must be familiar with and have participated in contract language and rate negotiations with one or more of the following provider types; physicians and physician groups, SNF, DME, homecare, hospitals required