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5 дней назад

Senior Provider Contractor (Healthcare)

78 400 - 107 800$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Senior Provider Contractor (Healthcare): Negotiating and executing physician, hospital, and other provider contracts for a Florida health insurance network with an accent on reimbursement rates, payment structures, and contract economics. Focus on analyzing financial impact, maintaining contracting documentation, recruiting providers, and managing regional travel.

Location: Remote Florida; must live in Central or Northeast Florida. Travel up to 30% within the region may include overnight stays, and occasional travel to hirify.global offices for training or meetings may be required.

Salary: $78,400–$107,800 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and health insurance company, with CarePlus Health Plans providing Medicare Advantage plans across Florida.

What you will do

  • Initiate, negotiate, and execute physician, hospital, ancillary provider, and other provider contracts.
  • Communicate contract terms, payment structures, and reimbursement rates to providers.
  • Analyze the financial impact of contract terms and reimbursement arrangements.
  • Maintain contracts and related documentation in a tracking system.
  • Help identify and recruit providers based on network composition and business needs.

Requirements

  • Live in Central or Northeast Florida.
  • At least 5 years of progressive network management experience, including physician or hospital contracting.
  • Experience negotiating managed care contracts with large physician groups, ancillary providers, or hospital systems.
  • Ability to analyze, understand, and communicate the financial impact of contract terms, payment structures, and reimbursement rates.
  • Ability to travel up to 30% within the region.

Nice to have

  • Bachelor's degree.
  • Experience with ACO or risk contracting.
  • Experience with value-based contracting.

Culture & Benefits

  • Full-time schedule of 40 hours per week in a remote position.
  • Dedicated home workspace and internet service with at least 25 Mbps download and 10 Mbps upload speeds are required.
  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan, paid time off, holidays, and paid parental and caregiver leave.
  • Short- and long-term disability coverage, life insurance, and additional well-being benefits.

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