Job ID: J124168
Company: Highmark BCBSD Inc.
Location: Wilmington, DE, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Nov 16, 2018
Serve in a leadership role for all activities and develop strategies for contract negotiations that support departmental initiatives as well as Highmark’s corporate mission and objectives.
1.Lead negotiations of provider payment and contractual terms, with responsibility for the development and execution of work plans and strategy for provider contracting initiatives.
2.Represent Provider Contracts for network provider contractual and/or reimbursement related concerns both internally and externally.
3.Mentor a team of Provider Contract Specialists in the development and assessment of pricing proposals and provider profile information for contract negotiations.
4.Develop and maintain positive, effective provider relationships.
5.Support the management and development of Provider Contract Specialists.
6.Ensure compliance with contractual terms.
7.Other duties as assigned or requested.
Education, Licenses/Certifications, and Experience (For Experience requirements please see appropriate role/level guide. If not applicable, list experience requirements below.)
Knowledge, Skills and Abilities
IV. SCOPE OF RESPONSIBILITY
Does this role supervise/manage other employees? No X Yes □
If yes, indicate the number of direct reports:
V. WORK ENVIRONMENT
Is Travel Required?
Unusual Working Conditions
This job requires the ability to work as a team member. Additionally, this job requires the willingness and ability to report to work on a regular and timely basis and may require irregular work hours, holidays and/or weekends.
SummaryGENERAL OVERVIEW: This section contains a synopsis of the main purpose(s) or functions(s) of the job, indicating what is done. This information will be used to develop the position posting. Serve in a leadership role for all activities and develop strategies for contract negotiations that support departmental initiatives as well as Highmark’s corporate mission and objectives.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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