16 days old

Network HealthPlan Practice & Ancillary Contracting - Ft. Worth, TX

Southwestern Health Resources CIN
Dallas, TX 75201
  • Job Code
    19013223

Southwestern Health Resources (SWHR CIN) seeks to hire a Network HealthPlan Practice & Ancillary Contracting to work Full Time supporting the Network Development department.

Please note: Southwestern Health Resources Clinically Integrated Network (SWHR CIN) is an affiliated company of Texas Health and UT Southwestern. If hired for this position, you will become a SWHR CIN employee rather than a Texas Health or UT Southwestern employee.

The address is 1701 River Run, Fort Worth, TX 76107 in the Westbend Building

Salary range is Min $27.99 - Max $45.43 - based on relevant experience

Work Schedule

Monday-Friday, 8:00-5:00 p.m.

Job Description

Negotiate and re-negotiate high-volume, transactional-style physician and ancillary contracts.
Function as the single point-of-contact for all on-going contractual and service issues as needed by providers.
Facilitate provider education, training them in order to increase their familiarity and satisfaction with systems and strategies.
Create trend analyses and summaries for decision-making purposes.
Interface with market leaders to align contracting needs and business efforts.
Set targets and priorities in order to department and company goals and objectives.

Keywords: "PROVIDER CONTRACTING" "PHYSICIAN GROUP" "ANCILLARY PROVIDERS" "NETWORK ANALYSIS"

The ideal candidate will possess the following qualifications:


Education
Bachelor's Degree Business, Finance or a related field Required

Experience
2 years relevant Provider Contracting experience with prior demonstrated success in Provider Contracting with both Large Physician Groups and Ancillary Providers Required and
3 years' experience in performing Network Adequacy Analysis Required and
In-depth knowledge of Medicare Reimbursement Methodologies, i.e. Resource Based Relative Value System (RBRVS) with at least an intermediate level of knowledge of Claims Processing Systems and Guidelines Required

Skills
Must be proficient in relevant computer applications such as Microsoft Office
Must be detail oriented
Must be dependable, exhibit strong initiative, and be self-motivated
Must possess excellent communication skills
Must be able to frequently problem solve, make decisions, interpret data, organize and analyze work flow, write, plan, and use simple arithmetic.

Supervision
Individual Contributor

ADA Requirements
Working Indoors 67% or more

Physical Demands
Sedentary





Posted: 2019-11-23 Expires: 2019-12-22
Sponsored by:
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Network HealthPlan Practice & Ancillary Contracting - Ft. Worth, TX

Southwestern Health Resources CIN
Dallas, TX 75201

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