3 skilled maintenance team member jobs found

Job Description: Summary: The position is primarily responsible for the overall relationship and management of the Provider-Vendor agreement account. This position is responsible for the building and maintaining of favorable relationships with these entities; coordinating internal resources; ensuring deliverables are meaningful, timely and accurate; and issue resolution. The incumbent is also accountable for the performance of vendors within the Provider Contracting, Wellness and Telemedicine teams and is responsible for vendor relationships and evaluations. The position also partners with Legal to ensure the corporation is protected by the contract and ensures all vended processes and interfaces are compliant with as State, Federal, and BCBS Association insurance requirements. Essential Accountabilities: • Manages and coordinates partnerships with all contractual stakeholders and advises, where applicable, to include Senior Leadership, Providers, Vendors and key...

Job Description: Summary: As a professional within the network contracting and administration team, the incumbent will contribute to the development and maintenance of provider networks. This position is accountable for performing provider and network analysis, evaluating provider reimbursement, and negotiating provider contracts in accordance with corporate strategy. As such, the role requires a multifaceted understanding of provider types, applicable legal and regulatory requirements, pricing methodologies, industry and regional provider impacts & trends, provider reimbursement and related programs, and product lines. Essential Accountabilities: • Establishes and maintains network adequacy for assigned provider types, regions and/or lines of business. Serves as provider network contracting and administration subject matter expert for assigned areas. • Analyzes, develops, and proposes formal provider reimbursement recommendations within approved budgets and...

LOCATION: Must live in the New York City/New Jersey area. Will be required to go into the NYC office 3 days per week. The Provider Contracting Lead Analyst serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting and network activities. DUTIES AND RESPONSIBILITIES Manages submission process of contracting and negotiations for fee for service with physicians, ancillaries and hospitals. Supports the development and management of value-based relationships. Builds and maintains relationships that nurture provider partnerships to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Supports strategic positioning for provider contracting,...