Provider Network Contractor
$78.2k/y-$93.7k/y
Colorado Accessa day ago
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HybridFull-timeMid
Summary
Colorado Access is seeking a Provider Network Contractor to join their team in Denver, CO. The role involves developing and maintaining relationships with healthcare providers, negotiating contracts, and ensuring network adequacy.
About the Role
As a Provider Network Contractor, you will be responsible for developing positive working relationships with contracted providers, negotiating contracts, maintaining knowledge of reimbursement methodologies, evaluating network adequacy, managing the contracting process, and resolving contract-related issues.
About You
Required:
- Bachelor's degree in health administration, business administration, or related field.
- Minimum of two years' experience negotiating contracts with healthcare providers.
- Working knowledge of medical reimbursement platforms and managed care contracting.
- Strong negotiation skills and excellent written and verbal communication skills.
Preferred:
- Four years' progressive relevant work experience.
- Basic knowledge of claims payment operations and healthcare delivery systems.
- Proficiency in MS-Office applications (Word, Excel, Access).
Benefits
- Medical, dental, vision insurance starting the first day of the month following start date.
- Supplemental insurance such as critical illness and accidental injury.
- Health care and dependent care flexible spending account options.
- Employer-paid basic life insurance and AD&D.
- Short-term and long-term disability coverage.
- Voluntary life insurance.
- Paid time off.
- Retirement plan.
- Tuition reimbursement.
- Annual bonus program.
Colorado Access
Colorado Access is a local, nonprofit health plan that serves members throughout Colorado. We have been on a mission since 1994 to partner with communities and empower people through access to quality, equitable, and affordable care. Our focus is driving improvements in quality, member experience, outcomes, and cost. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program).
Denver, CO