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Physician & Hospital Contract Negotiator (Network Management/Contracting) - Remote & Field Based

Company: WellCare
Location: Los Angeles
Posted on: September 17, 2020

Job Description:

Physician & Hospital Contract Negotiator (Network Management/Contracting) - Remote & Field Based Full-time

Company Description Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.

Job Description Business Dev & Sales

Full-time

Corporate

Position Purpose :

Identify, negotiate and manage high performing provider and vendor partnerships.

Negotiate vendor or provider contracts and manage implementations and ongoing relationships.

Perform market research and analysis as directed.

Define, initiate, and direct financial analyses and operational reporting for the assigned vendor and provider agreements.

Lead, manage, and track ongoing financial and operational success of designated partnership.

Develop and initiate corrective action plans or agreement modifications where necessary, coordinating with local health plans and other applicable internal teams.Initiate and lead meetings with health plans and corporate teams, including executive management, to review vendor and provider agreement performance data and scorecards, and partnership strategy.

Qualifications Education/Experience :

Bachelor’s degree in Computer Science, Finance or related field or equivalent experience.

4+ years of vendor and/or provider contract negotiations, contract analysis and/or modeling experience in health care or similar industry.

Experience negotiating contracts with successful outcomes and measurable financial results.

Experience with presenting and communicating negotiation strategies and results at senior levels.

Experience with health care provider negotiations for Commercial Insurance preferred.

Additional Information All your information will be kept confidential according to EEO guidelines.

Physician & Hospital Contract Negotiator (Network Management/Contracting) - Remote & Field Based

Keywords: WellCare, Los Angeles , Physician & Hospital Contract Negotiator (Network Management/Contracting) - Remote & Field Based, Other , Los Angeles, California

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