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Healthcare Consultant 
(Job)

adzuna-us  |  United States  |  

Ref:
ADZUNA-US-FNHU8
Direct:
Employer:
Location:
United StatesEverett, WA, 98213
Category:
Management/Management
Work Type:
Permanent
Work Time:
Full Time
Tags:
job,united-states,adzuna

Description 

Client Position Title: Healthcare Consultant Position Number: 325789 Location: Everett, WA 98201 Desired Skill Set: Medicaid Systems, MS Excel, MS Word Position Description: C2C is not available Only U.S.

Citizens and those authorized to work in the U.S.

can be considered as W2 candidates.

Title: Healthcare Consultant Location: WA, USA Z 98201 Duration: 8 Months Description:

- Recruits and negotiates physician and/or provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals of Client Medicaid.

Develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members; foster growth of managed care products; and enhance profitability of Client Medicaid.



- Fundamental Components and Physical Requirements include but are not limited to (denotes essential functions):

- Proven working knowledge of standard provider contracts, terms and language

- In-depth knowledge of the managed care industry and practices

- Accountable for all aspects of physician recruitment and contracting as well as ad/hoc network contracting, as assigned

- Responsible for negotiating or re-negotiating individual provider, group, multi-specialty practices, behavioral health (practitioners and facilities),hospitals-and hospital based physician contracts to satisfy specific network goals and objectives

- Proficient in Excel and Word

- Ability to use internet Search Engines

- Additional Information (situational competencies, skills, work location requirements, etc.):

- Proven ability to persuade decision makers to contract acceptance, strong capability to rebut common misconceptions/rejections to Managed Care contracting, i.e., rates, type of membership, administrative requirements

- Mastery of provider contracts, contracting options, PADU (alternate language manual) guidelines as well as provider configurations

- Demonstrated ability to negotiate for the purpose of finalizing contracts swiftly

- Communication Skills - Strong written and verbal communication skills

- Critical thinking, and interpersonal skills, demonstrated self-starter, highly organized and self-motivated.



- Strong understanding of competitive landscape including strategies, practices, and financial/contracting arrangements desired

- Ability to produce within a fast paced task/production oriented work environment, organized, independent worker requiring minimal oversight required.

ADDITIONAL:

- Demonstrated ability to negotiate contract terms and conditions with assigned providers that focuses on productivity and achieving results

- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others.

Critical thinking, and interpersonal skills, demonstrated self-starter, highly organized and self-motivated

- Skilled at identifying solutions to non-standard requests and problems, solving moderately complex problems and/or conducting moderately complex analyses with minimal guidance in a telecommuting capacity

- Strong understanding of competitive landscape including strategies, practices, and financial/contracting arrangements desired

- Ability to produce within a fast paced task/production oriented work environment, organized, independent worker requiring minimal oversight required

- Must be able to travel extensively in the assigned area of contracting responsibility as required Education

- Bachelor''s degree desired or equivalent work experience (3 years healthcare contracting) Rose International is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law.

Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

Rose International has an official agreement (ID 132522), effective June 30, 2008, with the U.S.

Department of Homeland Security, U.S.

Citizenship and Immigration Services, Employment Verification Program (E-Verify).

(Posting required by OCGA 13/10-91.) Education

- Bachelor''s degree desired or equivalent work experience (3 years healthcare contracting)