Company Overview: Job Description:

• Design, develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for claimants; foster growth of products; and enhance profitability of Coventry.
• Negotiates, executes, reviews, and analyzes contracts with large hospital/facilities (i.e. hospitals, large groups/systems, ancillaries) in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, financial goals, cost initiatives, and client satisfaction.
• Manages contract performance in support of network quality, availability, and financial goals and strategies.
• Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
• Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.
• Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives.
• Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit.
• Assists with the design, development, management, and or implementation of strategic network configurations, including integration activities.
• May optimize interaction with assigned providers and internal business partners to manage relationships and ensure provider needs are met.
• Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.

Qualifications:

• Bachelor's degree preferred
• Proven working knowledge of competitor strategies, complex contracting options, value based contracting, financial/contracting arrangements.
• 5+ years related experience, proven and proficient negotiating skills.
• Strong communication, critical thinking, problem resolution and interpersonal skills.
• Microsoft Office experience
• Customer service oriented mindset.

Benefits: We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $57,000 - $80,000 annually, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. #LI-AP1 #LI-Remote