Care Manager, RN – PEDS
Centene Corporation
Manager, Network Management – Behavioral Health
Health Care Service Corporation
full-time
Posted on:
Location: Illinois, Montana • 🇺🇸 United States
Visit company websiteSalary
💰 $90,900 - $164,200 per year
Job Level
SeniorLead
About the role
- Manage daily activities and implement strategies for provider recruitment and contracting of behavioral health physicians, groups and facilities
- Develop behavioral health strategies, analyze financial impacts, assist/support/lead contract negotiations
- Develop and maintain relationships with providers and ensure strategic coverage for assigned territory
- Provide education and ongoing provider service
- Manage, mentor and train a team responsible for provider contracting and provider support resources
- Provide subject matter expertise to improve efficiencies and results
- Ability and willingness to travel within assigned areas of responsibility, including overnight stays
Requirements
- Bachelor Degree and 5 years provider contracting experience OR 9 years managed care experience including 5 years provider contracting experience
- Extensive knowledge of provider and facility contracting, products, and claims/processing systems
- Leadership skills to oversee staff, implement initiatives, and work across the company to resolve issues
- Negotiation skills
- Relationship building skills
- Knowledge of marketplace
- Meet deadlines and work well under pressure
- Verbal and written communication skills to interact with all levels of corporate personnel and providers
- PC proficiency to include Microsoft Office
- Analytical skills
- Project management skills to lead or participate in projects or initiatives
- Ability and willingness to travel within assigned areas of responsibility, including overnight stays
