Director of Provider Relations and Contracting

This position provides oversight of the provider services, provider network, and contract administration functions. The position develops, plans, and implements provider and network strategies to insure the development and maintenance of a network of providers sufficient to ensure provision of the contracted benefits for which the Plan is responsible; including management of provider agreements, and networks of providers.

MINIMUM REQUIREMENTS

Bachelor’s Degree in Health Care Administration, Business Management or an equivalent combination of education and related work experience in managed care or health care. Minimum of seven (7) years’ experience in contract negotiations, network development, Health Care Management, or Managed Care and/or Provider Relations; with at least five (5) years’ supervisory experience. Strong knowledge of Microsoft Office (Word, Excel, and Access).

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