Manager, Provider Relations & Contracting

Visiting Nurse Service of New York • New York, NY • 1h ago

Overview Manages the day-to-day activities of provider relations and contracting for VNS Health Health Plans. Facilitates the development of contract templates, contract amendments, incentives, processes, policies and procedures for network development and contracting. Ensures quality and compliance with VNS Health Health Plans, state and federal rules and regulations of network development and contracting processes, contract language and network adequacy. Coordinates provider relations and contracting efforts with health plan and organization strategies and objectives. Develops relationships with provider community to enhance network development and contracting efforts, which includes facilities, faculty physician groups, physicians, and ancillary providers. Ensures the provider network includes an appropriate distribution of provider specialties to meet competitive and regulatory requirements. Works under general supervision. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do Works directly with facilities, physicians, and ancillary providers for the purpose of contracting and network development. Manages Assignments for provider relations and contracting . Ensures resources are aligned with the strategy developed by provider relations and Contracting leadership. Manages, revises, and oversees processes, policies, and procedures. Ensures provider contracts are returned with a completed credentialing application, unless otherwise directed by health plan leadership. Builds and manages facility network relationships for VNS Health Health Plans. Ensures a geographically competitive network with broad access and stable hospitals that produce an affordable and predictable product. Ensures contracts are in compliance with company contract templates, reimbursement structure standards, and other key process controls. Develops and oversees processes, policies, and procedures to ensure compliant contracting practices, including advising on and facilitating the development of training and quality audits. Ensures established processes are in compliance with all applicable agency, state and federal rules and regulations. Oversees and ensures quality for contracting process by monitoring and auditing activities of internal and external network development resources. Negotiates contract terms. Sets clear and acceptable parameters for network development to use when negotiating contracts. Establishes relationships with the provider community to enhance network development efforts. Collaborates with health plan leadership, staff, and providers to identify opportunities to improve success of provider relations and contracting efforts and processes. Collaborates with provider network, health plan product, and sales leadership regarding provider capacity monitoring, regional needs assessments and identification of potential providers for recruitment into program and deployment of network development resources. Facilitates development of provider recruitment and retention strategies and tools including provider contracts, incentives, marketing and communications. * Maintains knowledge of agency, state and federal compliance requirements. Maintains knowledge about best practices for provider-oriented sales management, network development and contracting. Devises all s

Similar Jobs

Engineering Manager

Actalent • Fairfield, NJ • 40min ago

Management & Administrative

Job Title: Engineering Manager Job Description We are seeking an experienced Engineering Manager to lead and oversee our engineering department in the design, development, project management, qualification, and certifica...

40min ago

Go to Apply

Manager, Member Experience (Hybrid)

Visiting Nurse Service of New York • New York, NY • 1h ago

Management & Administrative

Overview At VNS Health, we believe that the way we deliver health services is just as important as what we deliver. We aim to create a member-centric experience, ensuring that health plan operations are infused with the...

1h ago

Go to Apply

Member Experience Manager (Hybrid)

Visiting Nurse Service of New York • New York, NY • 1h ago

Management & Administrative

1h ago

Go to Apply

Contract Manager, Strategic Sourcing

Premier Inc & Subsidiaries • New York, NY • 6h ago

Management & Administrative

Contract Manager, Strategic SourcingWhat you will be doing:The Contracting Manager is responsible for sourcing and management for the portfolio of contracts within an assigned service line, which will include multiple co...

6h ago

Go to Apply

Program Manager - CMS Marketing

JPMorgan Chase • New York, NY • 6h ago

Management & Administrative

Chase Media Solutions is seeking a highly organized and proactive Program Manager to help bring CMS marketing campaigns and content come to life. This role will be instrumental in driving timelines, managing intake, and...

6h ago

Go to Apply

Field Service Coordinator

DJO, LLC • New York, NY • 6h ago

Management & Administrative

Who We Are ABOUT ENOVISEnovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcome...

6h ago

Go to Apply

Program Manager, Global Impact Lab

The Trustees of Columbia University in the City of New York • New York, NY • 6h ago

Management & Administrative

Job Type: Officer of AdministrationRegular/Temporary: RegularHours Per Week: 35Salary Range: $82,900 - $93,000The salary of the finalist selected for this role will be set based on a variety of factors, including but not...

6h ago

Go to Apply

Operations Program Manager

Figma, Inc. • New York, NY • 6h ago

Management & Administrative

At Figma, program management goes beyond tracking timelinesits about enabling scale, driving clarity, and delivering meaningful outcomes in a fast-moving, product-led organization. Were looking for a strong individual co...

6h ago

Go to Apply

Operations Manager - Energy Efficiency

Actalent • New York, NY • 6h ago

Management & Administrative

HIRING: Operations Manager For Energy Efficiency Firm - Field Quality & Technical Program Delivery We are seeking a seasoned operations leader to oversee the execution of a large-scale building performance program fo...

6h ago

Go to Apply

Operations Manager - Weatherization

Actalent • New York, NY • 6h ago

Management & Administrative

We are seeking an experienced Operations Manager to lead a growing team in Maspeth, Queens. Our new office is fully operational, and we've secured significant new projects, creating an exciting opportunity for a strong l...

6h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.