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Provider Relations Specialist - Tampa, United States - MASC Medical Recruitment Firm
Description
Position: Senior Provider Contracting Specialist
Role Overview:
This advanced-level position is pivotal in establishing and nurturing strategic, creative, and data-driven partnerships with healthcare providers. The specialist will work autonomously to drive performance improvements, negotiate high-stake contracts, and maintain robust relationships with various healthcare stakeholders.
Key Responsibilities:
Strategic Partnership Development: Foster a trusted environment with providers through relationship management, leveraging data to identify and act on collaboration opportunities that enhance performance metrics.
Contract Negotiation and Management: Conduct evaluations and negotiations compliant with company standards and controls. Ensure contracts support value-based care objectives, focusing on risk-based agreements with integrated quality and cost measures.
Relationship Maintenance: Sustain and deepen relationships with Hospital, Physician, Pharmacy, and Ancillary providers, ensuring a balanced network. Regularly engage with contracting peers and leaders to enhance collaboration and mutual benefits.
Expertise and Advocacy: Serve as a subject matter expert on provider value-based programs, facilitating understanding and participation in the network. Develop solutions with cross-functional teams to optimize provider performance.
Qualifications:
Bachelors degree or equivalent in a related field.
3+ years of post-degree experience in provider contracting, including expertise in value-based and total-cost-of-care arrangements.
Strong understanding of ACOs and various contracting methodologies.
Skills and Abilities:
Proven ability to negotiate and maintain significant provider contracts.
Exceptional relationship-building and maintenance skills across all organizational levels, including senior leadership.
Strong financial, analytical, and problem-solving skills.
Excellent communication abilities, both written and verbal, capable of conveying complex information clearly and persuasively.
Experience in contract interpretation, provider value-based financial analysis, and legal aspects of contracting.
Demonstrated competency in managing projects to meet deadlines and organizational goals.
Ability to facilitate information sharing and drive discussions within clinically integrated network teams.