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Senior Manager, Contracting & Network Development

Tampa, FL 33614

Posted: 08/17/2019 Industry: Administrative Job Number: 23905
Job description Position Purpose: Lead, negotiate, and manage multiple large hospitals and medical groups, physician, and/or ancillary contracting activities in accordance with Corporate, health plan, and state guidelines. 

  • Oversee provider contracting activities to ensure efficiency and maintain compliance with Company policies and standards, government laws and regulations
  • Develop and implement a network development plan for multiple regions, for a set of providers and identify and initiate contact with potential providers
  • Lead negotiations, implementations, and ongoing monitoring of hospitals and providers to maximize business relationships and opportunities for multiple regions
  • Oversee contract configuration to ensure accurate claims adjudication and facilitate the organization of provider focus groups
  • Ensures compliance with national contracting standards, reimbursement standards, provider set-up rules, exception process and use of model contract language
  • Perform financial analyses of multiple business units to identify medical cost improvement opportunities and develop and execute contracting action plans to achieve results
  • Oversee and train in high level physician and hospital contracting
Qualifications:
Education/Experience: Bachelors’ degree in healthcare administration, business administration, marketing or related field. 6+ years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of contracting language and the principles of negotiation. Familiarity with managed care, State and/or Federal health care programs.

License/Certification: Current state driver’ s license.

Joe Domaradski
South East Regional Manager

Joe has extensive experience in the staffing and recruiting industry. He has worked throughout the country opening up new offices and managing multiple markets. Joe is the Regional Manager for our Southeast Region (Florida, Georgia, South Carolina, North Carolina, and Virginia).

Jos is a Navy veteran that worked in the Pentagon. He is a big sports enthusiast and enjoys living near the beautiful South Florida beaches. Joe has one daughter who is currently attending college.

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