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Job Description
- Develop, negotiate and maintain contracts with all payers, e.g., insurance companies, MSOs, IPAs, TPAs and government programs. This includes researching territories to identify gaps with our payer base and supporting the expansion into new markets.
- Assure contractual arrangements meet financial targets and legal/regulatory compliance requirements. There will be an emphasis on analyzing cost and utilization data.
- Facilitate the approval process of all contract documents from pre-contract through post signature phases.
- Responsible for the accuracy of supporting documentation for contracts and completing documents accurately.
- Develop and maintain processes that provide timely notification of critical contract events (e.g., renewals, termination and due dates contained within the agreements).
- Maintain existing relationships with contracted providers. Ensure contractual language is kept current; evaluate fee schedule on a yearly basis to identify possible opportunities for additional covered services, medical policy changes, and reimbursement.
- Coordinate and communicate contractual terms to the billing department; ensure staff is informed of changes in medical policy & billing policies.
- Conduct on-going assessments of assigned networks and make recommendations for strategic initiatives, goals, and objectives.
- Develop and maintain periodic, e.g., bi-weekly, reports on the status of all contracts.
- Assure accurate data entry of contract specifications and terms into database and completeness of all contracting processes.
- Maintain excellent written and verbal communication with all internal and external customers.
- Assist with all contracting administration and projects, as needed.
Job Requirements
- يشترط التخرج و التفرغ التام للعمل.
- يشترط قرب السكن من مكان العمل.
- توفر الشركة راتب اساسي ثابت + عمولة علي التعاقدات .
- مواعيد العمل من 10 ص الي 6 م .
- يشترط اللباقة وحسن المظهر.
- يشترط الخبرة السابقة ومعرفة بكل شركات التأمينات
- Excellent selling, communication and negotiation skills.
- 2+ years experience in Insurance or a similar role in a network administration environment ( preferably gained in hospitals, insurance companies, TPAs).
- Requires managing multiple projects concurrently in a fast paced environment.
