Provider Contracting Manager jobs in Kansas
Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Recently Added Provider Contracting Manager jobs
Director Provider Contracting
- One Call
-
Home, KS
CONTRACTOR
-
Are you looking for an impactful role where you finish the workday knowing you helped someone? Whether you’re joining our care coordination team or playing a supporting role, the work you do every day helps us collectively reach our mission of “getting people the care they need when they need it.” We believe that by staying committed to our core values of Think Big, Go Fast, Deliver Awe, and Win Together , we can positively impact the lives of the injured workers we serve and get them back to the things that matter most in life.
Salary Range: $86000 - $141800 Salary
This compensation range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At One Call, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $86000 - $141800 Salary
Benefits Summary
In return for your commitment to our company’s mission, we offer a vast array of benefits to help support the whole you.- Opportunities to work from home
- Competitive wages with opportunities to earn annual merit increases
- Paid development hours to use for professional and community development!
- 18 days of Paid Time plus 8 company holidays, and 2 personal days per year
- $1,000 Colleague Referral Program
- Enterprise Recognition Program rewarding colleagues for their extraordinary work
- Exclusive discounts on travel, activities, and merchandise via work discount program
- Colleague Assistance Program that provides free counseling and financial services
- Tuition Reimbursement Program including certifications
- Quantum Health: A healthcare navigation platform to help our colleagues make the best, most cost-effective healthcare decisions
- Medical, dental, and vision insurance
- Pre-Tax FSA and HSA health savings accounts
- 401(k) matching
- Company paid life insurance
- Company paid short term and long-term disability
- Healthcare concierge
- Pet Insurance
- The One Call Foundation which aims to help colleagues during unexpected emergencies, from car accidents to natural disasters.
Leadership role accountable for the execution of contracting commitments and priorities, leading the assessment, evaluation, and design of strategy for initiatives, approaches and/or solutions related to provider contracting and network margin optimization. Requires the ability to recruit the correct resources, motivate, retain, develop, and lead a team of professionals to achieve targeted results. Critical thinker with strong project management, time management, and organizational skills who can coordinate the input and interests of internal teams, driving efforts associated with provider contracting to execution under tight time frames. Has considerable latitude for independent judgment and should be comfortable and practiced in making managerial decisions, leading strategy, and engaging executive leadership appropriately when necessary.
GENERAL DUTIES & RESPONSIBILITIES: Think Big : – Strategic Acumen 40%- Oversee the development and implementation of strategic initiatives and contracting activities.
- Proven analytical and critical thinking skills with the ability to develop, implement, and monitor business solutions in support of network design and margin optimization.
- Adept at designing and building solutions through research and analysis of data and business process, conducting, or coordinating analytic activities (analyses and report creation) in support of projects and initiatives across multiple products.
- Champions strategies for the development, implementation, and management of contractual arrangements that support favorable unit cost performance and create forward-looking strategy.
- Possesses formidable financial and contract acumen with proficiency in analyzing and interpreting trends in the provider contracting arena.
- Creates and manages initiatives that improve total medical cost and quality.
- Lead and actively participate in strategic planning initiatives with business partners across the organization to develop, drive and execute on strategies.
- Ability to define a problem statement, form hypotheses, and request appropriate analysis to support the decision-making process and work with appropriate subject matter experts to resolve.
- Ability to work collaboratively with internal and external constituents to gain consensus / support and manage stakeholder alignment and approval.
- Direct the evaluation, review, negotiations and ongoing management of contracts and amendments between One Call and Providers
- Determine necessary resources to develop the network and assemble the appropriate team.
- Manage performance target setting and performance reporting.
- Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management.
- Directs the evaluation, review, negotiations, and ongoing management of contracts and amendments.
- Monitors performance, develops, and implements business solutions to address process and network quality gaps.
- Bachelor’s degree (B.A. or B.S.) and 8 years of experience or the equivalent combination of education, training, or work experience
- Expert knowledge of the workers compensation industry
- Excellent verbal and written communication skills to technical and non-technical audiences of various levels within the organization (e.g., executive, management, individual contributors)
- Excellent problem solving, time management, and work prioritization skills.
- Ability to manage multiple deadlines for self and others.
- Requires proficient negotiation skills and tactics, both written and verbal
- Ability to establish and maintain relationships with internal and external customers.
- Comfortable with change and possesses the ability to switch tasks and priorities seamlessly.
- Experience utilizing financial models and analyses in negotiating network rates.
- Ability to operate MS Office suite effectively: Word, Excel, PowerPoint, Outlook, Teams etc.
- The job can be emotionally demanding due to various factors such as a heavy workload, dealing with sensitive information, and specific responsibilities within the team.
- This job primarily operates office equipment and involves repetitive motions.
- The colleague must regularly use hands and fingers, speak, concentrate for extended periods of time, and hear.
- Specific vision abilities to observe details at close range and ability to adjust focus.
- The colleague must be able to remain in a stationary position at least 75% of the time and may be required to lift objects (up to 10lbs weight; up to 4 ft. height)
- Please be advised this job description is subject to change at any time.
- 6 Days Ago
Senior Provider Contracting Professional
- Humana
-
Remote, KS
FULL_TIME
- This job offer is not available in your country. Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, Humana ) offers competitive benefits that support whole-person well-...
- 17 Days Ago
Project Manager
- Cherne Contracting Corporation
-
Lenexa, KS
FULL_TIME
- Requisition ID: 172295Job Level: Senior LevelHome District/Group: Cherne DistrictDepartment: Field OperationsMarket: IndustrialEmployment Type: Full TimePosition OverviewKiewit Industrial Group is loo...
- 10 Days Ago
Safety Manager-Kiewit-Cherne
- Cherne Contracting Corporation
-
Kansas, KS
FULL_TIME
- Requisition ID: 172298Job Level: Mid LevelHome District/Group: Cherne DistrictDepartment: SafetyMarket: IndustrialEmployment Type: Full TimePosition OverviewAt Kiewit, one of our guiding principles on...
- 2 Days Ago
Quality Manager-Kiewit/Cherne
- Cherne Contracting Corporation
-
Lenexa, KS
FULL_TIME
- Requisition ID: 172296Job Level: Mid LevelHome District/Group: Cherne DistrictDepartment: QualityMarket: IndustrialEmployment Type: Full TimePosition OverviewLocated at the project location, the Proje...
- 9 Days Ago
Safety Manager-Kiewit-Cherne
- Cherne Contracting Corporation
-
Overland Park, KS
FULL_TIME
- Requisition ID: 172298Job Level: Mid LevelHome District/Group: Cherne DistrictDepartment: SafetyMarket: IndustrialEmployment Type: Full TimePosition OverviewAt Kiewit, one of our guiding principles on...
- Just Posted
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Manager - Contract Management and Payer Variance
- ChristianaCare
-
Wilmington, DE
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Contracts Manager
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Provider Contract Management Specialist
- Naphcare, Inc.
-
Birmingham, AL
- Overview: NaphCare has an excellent opportunity for a Provider Contracting Specialist to join our Regional Office in Pho...
- 6/10/2024 12:00:00 AM
Manager Contract Management
- McDermott
-
Houston, TX
- Job Description Company Overview: People power our future. That is why advancing a dynamic, inclusive environment, where...
- 6/10/2024 12:00:00 AM
Federal Contracts Manager
- Sparks Group
-
Herndon, VA
- Sparks Group in collaboration with a Fortune 500 consulting company is searching for a skilled Contract Manager. The Man...
- 6/10/2024 12:00:00 AM
Contract Manager
- Perikin Enterprises LLC
-
Tullahoma, TN
- Job Description Job Description Perikin Enterprises is looking for a talented contract manager to join our professional ...
- 6/9/2024 12:00:00 AM
Senior Provider Contract Manager
- Kaiser Permanente
-
Oakland, CA
- Description: Job Summary:Manages and conducts specific functions of the contracting and provider relations process. This...
- 6/7/2024 12:00:00 AM
Senior Manager-Contract Management, Americas
- Idaho State Job Bank
-
Boise, ID
- Senior Manager-Contract Management, Americas at Marriott in Boise, Idaho, United States Job Description Job Number 24034...
- 6/7/2024 12:00:00 AM
About Kansas
Kansas /ˈkænzəs/ (listen) is a U.S. state in the Midwestern United States. Its capital is Topeka and its largest city is Wichita, with its most populated county being Johnson County. Kansas is bordered by Nebraska on the north; Missouri on the east; Oklahoma on the south; and Colorado on the west. Kansas is named after the Kansa Native American tribe, which inhabited the area. The tribe's name (natively kką:ze) is often said to mean "people of the (south) wind" although this was probably not the term's original meaning. For thousands of years, what is now Kansas was home to numerous and divers...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$104,414 to $138,663
Most Popular Cities in Kansas for Provider Contracting Manager Jobs
What does a Provider Contracting Manager do?
Provider Contracting Manager in Gastonia, NC
By simplifying and automating the provider contracting lifecycle, we help make it easier for health plans to identify and implement savings opportunities to obtain maximum value from provider relationships.
January 09, 2020
Provider Contracting Manager in Springfield, IL
Responsible for the oversight of their assigned networks to ensure network provider deficiencies are being met and working closely with their assigned Network Support staff and Medical Management counterparts to ensure network needs/changes are being effectively addressed and communicated both internally and externally.
January 19, 2020
Provider Contracting Manager in Cedar Rapids, IA
New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process.
February 03, 2020