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Specialist, Provider Network Contracting
Employer:
LHI
Location:
La Crosse, WI 54601
Employment Type:
Full Time
 
Description:
Schedule: Full Time (40 hours or more per week)
Shift: 1st
Hours: Monday-Friday, 9:00a.m.-6:00p.m.

Build and maintain a successful working relationship between LHI and network providers to ensure a geographically competitive, broad access and stable network. Routinely negotiate cost effective fees, confirm service capability, respond to provider inquiries, and educate providers on contract expectations, processes and paperwork. Support implementation of strategies relating to the development and management of the provider network. Comprehend detailed knowledge of contracts in order to translate subcontractor and fee agreements to the providers. Must be able to routinely evaluate and negotiate contracts in compliance with company contract templates, reimbursement standards, and other key process controls, while maintaining network composition that includes an appropriate distribution of provider specialties.
 
Requirements:
Bachelors Degree in Business, Marketing and Communications or healthcare related field combined with a minimum of 1 year related experience (provider relations, network management, customer service and/or negotiations) required. Two years experience preferred. Previous experience utilizing financial models and analysis in negotiating rate structures required. Medical, dental, or healthcare insurance experience preferred. Equivalent combination of education, experience and/or applicable military experience will be considered.

Qualified candidates will have knowledge of negotiating rates and managing subcontractor relationships while using strong customer service skills. The ability to influence and negotiate through use of excellent verbal, written and interpersonal means with a diverse group of people/disciplines at all levels of an organization is required.

Candidates must be able to speak clearly and concisely while conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others. Must be able to work independently in a fast-paced environment, while being flexible and adaptable to changing situations. The ability to demonstrate an appropriate level of assertiveness in performing work responsibilities and in making work related decisions is required.

Must have proficient experience with Microsoft Office programs, Adobe or equivalent. Database experience/education a plus.

Medical or dental knowledge preferred along with a basic knowledge of Medicare reimbursement methodologies, i.e. Resource Based Relative Value System (RBRVS). National Career Readiness Certificate also preferred.

Occasional travel (10%) required.

Applications will be accepted until 5:00 p.m. CT on Friday, March 1, 2013.

LHI is an Equal Opportunity/Affirmative Action Employer.
 
Contact and Miscellaneous Information:
Contact Information
LHI
Angela Menezes
328 Front Street South
La Crosse, WI 54601
Phone:
Other Information
Category(s): Healthcare
Industry: Healthcare / Health Services
Experience Req.: No
Degree Req.: No
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