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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing provider contracts, including negotiation, analysis of contract terms, and reimbursement methodologies. Strong ability to maintain data integrity and improve contracting processes while effectively solving provider inquiries.
Highest-signal resume keywords
Provider Contract ManagementNegotiation SkillsReimbursement MethodologiesContract Data AnalysisOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract InterpretationReimbursement AnalysisManaged Care PrinciplesContract NegotiationData Integrity Management
Soft Skills
Problem SolvingPrioritizationTime Management
Tools & Technologies
Contract Management System
Industry Keywords
Managed CareHealth PlanProvider OrganizationContracting Processes
About the role
Key responsibilities & impact- Manage a dedicated portfolio of ancillary, professional, and facility provider contracts
- Independently handle negotiations for renewals and new standard agreements
- Analyze and interpret contract terms, rate proposals, and reimbursement methodologies
- Solve moderately complex provider inquiries regarding contract interpretation, reimbursement, and operational setup
- Partner with Provider Partnership Liaisons on provider handoff and onboarding
- Maintain contract data integrity in the contract management system
- Identify and recommend improvements to contracting processes, templates, and workflows
Requirements
What you’ll need- 5+ years of relevant experience in a managed care, health plan, or provider organization
- Practical, working knowledge of provider contract language, reimbursement methodologies, and managed care principles is required
- Skilled at interpreting contract data and solving moderately complex problems with limited supervision
- Strong organizational skills and ability to prioritize and manage multiple competing deadlines
- Bachelor's degree or equivalent experience required
- Residence within one of the key markets: IL, KY, AR, or MO
- Authorized to work in the United States
- Visa sponsorship is unavailable for this role
Benefits
Comp & perks- Medical, Vision and Dental Plans
- Tax-Advantage Savings Accounts (FSA & HSA)
- Life Insurance and Disability Insurance
- Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
- Employee Assistance Program
- 401k with company match
- Employee Resource Groups
- Employee Discount Program
- Learning and Development Opportunities
- Performance-based incentive and/or equity may apply depending on the position
- Initial series of an approved COVID-19 vaccine required for identified member-facing roles