Private Bank Process Integrity Manager
Flagstar Bank
Provider Contracting Manager
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full-time
Posted on:
Location Type: Remote
Location: Remote • Illinois • 🇺🇸 United States
Visit company websiteSalary
💰 $84,000 - $94,000 per year
Job Level
Mid-LevelSenior
About the role
- Manage physician contracting and network development for an assigned region
- Develop and maintain cooperative working relationships with the provider community
- Educate, train, research issues, and identify trends
- Evaluate providers to ensure contractual and financial requirements are adhered to
- Contracts and negotiates with Hospital, FQHCs, Physicians and Ancillary providers for all product lines
- Conduct Provider Orientations and ongoing education to Network Providers
- Understand and explain fee-for-service and risk contracts
- Respond to provider’s contract requests and inquiries
- Analyze network gaps and identify providers to contract
- Review and amend provider’s contracts when necessary
- Evaluate contracted network to ensure functionality
- Research and develop relationships with non-contracted providers
- Collect credentialing and required documents for newly contracted providers
- Perform special projects as assigned
Requirements
- Medicare Experience Preferred
- 3 - 5 years of experience in a Managed Care environment, Network Management or Provider Services
- Hospital contracting experience or related Network Management position with the ability to perform the level of duties of the position
- Demonstrated negotiation, analytic, and problem-solving skills
- Experience or knowledge of provider reimbursement methods and claims processing systems
- Verbal and written communications skills to include interpersonal and presentation skills
- Ability to work effectively and independently.
- Demonstrated ability to effectively manage multiple priorities
Benefits
- A competitive salary based on the market
- Medical, Dental, and Vision
- Employer-Paid Life Insurance
- 401(K) match up to 4%
- Paid-Time-Off
- Several supplemental benefits are available, including, but not limited to, Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
contract negotiationprovider reimbursement methodsclaims processing systemsnetwork managementprovider servicesdata analysisproblem-solving
Soft skills
interpersonal skillspresentation skillsverbal communicationwritten communicationindependent worktime managementmulti-priority management
