Excellus Health Plan Inc.
Utica, NY
Job Description: Summary: This position plans, directs and controls the contracting activities related to all professional (e.g., physician, dentist and non-physician including but not limited to psychologist, LCSW, podiatrist, audiologist etc.) and assigned ancillary (e.g., Homecare agency) services to assure that the Corporations act as prudent purchasers of services. This role is responsible for establishing and implementing corporate physician, non-physician and assigned ancillary contracting strategy, and developing and maintaining related contracting policies, practices, and standards across regions. Additionally, this position works with key stakeholders to ensure optimum contracting results and relations with the integrated hospital and physician entities in the region. Essential Accountabilities: • Develops and implements reimbursement and negotiation strategies for all professional and assigned ancillary service providers. Develops and maintains relationships...