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Job Openings

Manager Contracting and Network Administration

Job #: 17PS19
Department: Provider Services
Location: Tulsa
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Responsible for the management (planning, execution, implementing, and monitoring) of all aspects of the company's HMO, PPO, and Worker's Comp provider contracting staff and processes under the direction of the Senior Manager, Provider Services. Responsible for the negotiation, execution and implementation of complex provider contracts.

REQUIRED QUALIFICATIONS

  • Bachelors degree plus 3 years wok related experience. Supervisory experience required.
  • Demonstrate, through past performance and progressive increases in responsibility, the ability to accomplish goals.
  • Excellent oral presentation and writing skills.
  • Previous physician/hospital contracting and reimbursement development experience.
  • Familiarity with providers and provider issues in a managed care environment.
  • Previous claims software experience, preferably Amisys.
  • Ability to process and understand complex information. Ability to organize and oversee multiple complex tasks/projects to completion.
  • Ability to coordinate resources in an effective, cost efficient manner.
  • Excellent communication and interpersonal skills.
  • Ability to interpret and communicate detailed technical and financial information.
  • Demonstrated knowledge of physician and hospital capitation reimbursement methodologies.
  • Familiarity with healthcare and managed care business operations environments.
  • Strong familiarity with managed care terminology.
  • Proficient with software systems including Microsoft Word and Excel. Amisys preferred.
  • Ability to converse and write fluently in English.
  • Successful completion of Health Care Sanctions background check.

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