National Search Services is looking for a Contracting Manager located in the Bedford area. This is a permanent full time position.

Location and Pay Range:

• Bedford, NH
• $80k-$110k

Description:

• Position Purpose: Lead, negotiate, and manage multiple hospital, large medical group, physician, school and/or ancillary contracting activities in accordance with Corporate, health plan, and state guidelines.
• Oversee all activities of the contracting department
• Develop and implement a network development plan for an assigned region and set of providers and identify and initiate contact with potential providers
• Negotiate contracts with interested providers utilizing model provider agreements, and follow up on contracts
• Lead negotiations, rate modeling, implementation and ongoing monitoring of assigned group of providers to maximize business relationships and opportunities
• Oversee provider set-up and contract configuration to ensure accurate claims adjudication and facilitate the organization of provider focus groups
• Evaluate and monitor providers’ performance standards and financial performance of contracts
• Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and use of model contract language
• Perform financial analyses to identify medical cost improvement opportunities and develop and execute contracting action plans to achieve results

Requirements:

• Education/Experience: Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field or equivalent experience.
• 4+ years of provider relations/contracting experience in a healthcare and/or managed care environment.
• Working knowledge of contracting language and the principles of negotiation. Familiarity with managed care, State and/or Federal health care programs.
• Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.