Senior Manager

Senior Manager Provider Relations ? Contracting & Network Development Department

 

We?re 1199SEIU Benefit and Pension Funds, a prestigious Preferred Provider Organization and one of the largest self-administered labor-management Taft-Hartley funds in the country with almost 200,000 members and half a million covered lives. If you?re ready for the brightest career future, join us in this excellent opportunity to showcase your leadership talents. We are currently seeking an experienced Senior Manager for our Provider Relations ? Contracting/Network Development department.  The Senior Manager is responsible for the development, recruitment, provider servicing and network management activities including, but not limited to:

 

?  Oversee the Fund?s provider maintenance, network development, contracting, and provider retention efforts

?  Maintain and monitor departmental policies and procedures

?  Manage the daily activity and work assignment of staff

?  Manage the negotiation, analysis, and implementation of ancillary, provider groups, and practitioner contracts

?  Routinely conduct network assessment activities and prepare corrective action plans to maintain the stability and integrity of the provider network

?  Act as the primary resource for implementation and compliance of external network relationships

?  Initiate Letters of Agreement as needed for non-network providers

?  Report, maintain, and monitor the progress of key department goals

?  Assist with credentialing and re-credentialing activities

 

Qualifications:

 Bachelor?s degree is required.  Master?s degree in Public Administration or Business Administration with a concentration in health care administration or related field preferred.5-7 years? increasingly responsible experience in provider contracting/negotiations, reimbursement analysis, and network management.  Prior supervisory experience required.Excellent written and oral communication skills; strong human relations, problem solving and analytical skills requiredProficient in Word, Excel, Access, PowerPoint and able to manipulate various databases

 

If you are interested in growing professionally within a diverse, highly respected organization, we invite you to explore this excellent opportunity.  We offer an excellent salary and a fully employer paid comprehensive benefits package.  Qualified candidates should submit resume and cover letter with salary requirements to our jobs link at: www.1199nbf.org.  Please mention you found this ad in Monster. 

We are an Equal Opportunity Employer.