Provider Contracting Manager

Job Type

Full-time

Description

COMPANY OVERVIEW

Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a resolute care team. For more information on Zing Health, visit www.myzinghealth.com .

POSITION OVERVIEW

The Provider Contracting Manager will manage physician contracting and network development for an assigned region. The Provider Contracting Manager is responsible for developing and maintaining cooperative working relationships with the provider community; educating, training, researching issues; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed.

ESSENTIAL POSITION RESPONSIBILITIES

• Contracts and negotiates with Hospital, FQHCs, Physicians and Ancillary providers for all product lines
• Conducts Provider Orientations and ongoing education to Network Providers
• Understands and explains fee-for-service and risk contracts
• Manages physician network by developing and maintaining relationships to drive business results within a specific geographic area
• Responds to provider's contract requests and inquiries
• Analyzes network gaps and identifies providers to contract
• Reviews and amends provider's contracts when necessary
• Evaluates contracted network to ensure functionality
• Research and develop relationships with non-contracted providers
• Collects credentialing and required documents for newly contracted providers
• Performs special projects as assigned

Requirements

POSITION QUALIFICATIONS

Education / Experience :

Zing Health offers the following benefits :

Salary Description

$84,000.00-$94,000.00