Contract negotiator
Responsible for working as liaison between providers and organizationIdentify, select, and monitor providers and draft and negotiate final contractsEnsures optimal language is inserted into each agreement that will protect one call, its patients and customers may create processes and procedures to ensure overall quality of provider servicesFacilitate development of relationships with providers, maintain relationships for long-term contracts, and mediate performance and scorecard disputes.
General duties & responsibilities:
Draw up short term and long term contracting strategy for the development and improvement of one call’s provider network
Works independently and as part of a team on contract negotiations, renegotiations, contract preparation, provider relations and recruitment
Reduce cost of goods sold through contract negotiations and renegotiations of existing vendor contracts
Ensure quality components of service delivery and patient/carrier satisfaction with services provided
Initially establishes relationships with providers and prepares handoff to account management team
Participate in process for continuous credentialing and quality monitoring of assigned accounts
Monitors state fee schedules by working closely with one call’s government affairs department to ensure vendor compliance
Works with team to identify margin opportunities by performing analysis on out of network utilization and using data to identify network development opportunities
Performs ad-hoc negotiations with out of network vendors and strategically recruits new vendors based on feedback from operations and sales
Works closely with internal audit and compliance (iac) department to ensure vendor compliance with contracts as well as one call’s billing and other protocols
Identifies potential vendors for recruitment into the one call network
Identifies white space and targets vendors in those areas for inclusion in the one call network
Negotiates all new and existing contracts
Performs contract and cost analysis
Manages contract process including distributing and receiving contracts
Acquires credentialing applications at initial contracting
Acquires liability and licensure on each provider at initial contracting
Educational requirements:
Bachelor’s degree or the equivalent combination of education, training, or work experience.
General knowledge, skills & abilities:
Good understanding of one call products and services
General knowledge of the workers` compensation industry
Requires expert negotiation and communication skills, both written and verbal
Knowledge of provider relations
Excellent verbal and written communication skills to technical and non-technical audiences of various s levels in the organization (e.gExecutive, management, individual contributors)
Excellent problem solving, team and time management skills managing multiple deadlines for self and others
Proficiency in making projections of future expenses based on analysis of cost effectiveness of past expenditures
Proficiency to operate independently on work that is often confidential in nature
Contract negotiator
Has good understanding of contract negotiation principles as well as some legal acumen around common contract provisionsGenerally is responsible for multiple providers for contract drafting and negotiation of medium to moderately high complexity that require demonstrated knowledgeEducate and advise internal clients on issues relating to new contracts as well as analysis and interpretation of existing contracts for future useEnsures contractual agreements are metDevelop alternatives, strategies and plans of action to facilitate the negotiation processWorks under moderately minimal supervision on moderately strategic, complex projectsModerate latitude for independent judgmentTypically requires two to five (2-5) or more years of demonstrated related experience.
Eeo employer
Work from home
United states
