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Provider Relations-Networking-Contracting WellCare - Provider & Hospital Contracting Careers

National Contracting Manager Job

Full Job Title: National Contracting Manager

Job Number: 1700946

Location: Tampa, FL

Date Posted: 3-31-2017

Department: CNS Network-Expansions

Reports to: Sr. Director National Contracting

Location: 8735 Henderson Road Tampa, FL 33634

Manages all assigned contracting activities for hospital, physician and ancillary providers in new states and expansion areas for Medicare and Medicaid. Negotiates competitive contractual relationships. Executes network development strategies with a sense of urgency to deliver timely results to support WellCare's growth targets. Position will also be engaged in RFP responses for new markets and may participate in provider network related due diligence activities for mergers and acquisitions.

Preferred experience to include:
  • Hospital contracting
  • Physician group contracting
  • Ancillary contracting
  • New market network development/expansion

Department: CNS Network-Expansions

Reports to: Sr. Director National Contracting

Location: 8735 Henderson Road Tampa, FL 33634

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Essential Functions:
  • Oversees multi-market and enterprise-wide contract negotiations in specific areas such as ancillary services, health systems and delegated vendors. Ensures we are meeting set financial targets.
  • Engages with Health Analytics weekly to value contracts and programs offered by potential vendors or providers.
  • Partners with Legal Services on contract language negotiations with vendors and providers and takes ownership of the contract execution process.
  • Leads project teams for vendor selection (RFP) to include relevant stakeholders and drives consensus on action plans
  • Achieves company medical expense reduction targets through aggressive national ancillary contracting and risk contract management.
  • Identifies potential new contracts, vendor relationships, or internal programs that will reduce medical expense and/or improve operating efficiency.
  • Works in close collaboration with the Market finance and network staff to evaluate and vet contract opportunities.
  • Helps set yearly medical expense reduction targets for national contracting
  • Performs other duties as assigned.

Candidate Education:

Required Bachelors Degree in a related field or equivalent work experience with at least 7 years of Provider/hospital/ancillary contracting, network development, financial analysis, medical economics, contract negotiations, strategic planning, market development or business management.

Candidate Experience:
  • Required 5 years of experience in Provider/hospital/ancillary contracting, network development, financial analysis, medical economics, contract negotiations, strategic planning, market development or business management
  • Required other experience in negotiations
  • Preferred other experience in a managed care environment strongly preferred
Candidate Skills:
  • Advanced ability to represent the company with external constituents
  • Advanced demonstrated negotiation skills
  • Advanced knowledge of community, state and federal laws and resources
  • Advanced knowledge of healthcare delivery Ability to explain complicated financial terms and utilization data to physicians and staff
  • Advanced demonstrated interpersonal/verbal communication skills Ability to speak publicly
  • Advanced ability to lead/manage others in a matrixed environment
  • Intermediate ability to work independently
  • Intermediate demonstrated analytical skills
  • Intermediate demonstrated organizational skills
  • Intermediate ability to analyze and interpret financial data in order to coordinate the preparation of financial records
  • Intermediate other knowledge of provider contrast and health care reimbursement
  • Intermediate other understanding of regulatory compliance management and reportng requirements
  • Intermediate other ability to manage complex transaction and service models
  • Intermediate other demonstrated proficiency in establishing and driving medical cost management programs
Technical Skills:
  • Required Intermediate Microsoft Word Proficient in Microsoft Office such as Excel, PowerPoint, Access, Word and Outlook
  • Required Intermediate Microsoft Excel Ability to analyze data in Excel to identify trends, and variance from goals
  • Required Intermediate Microsoft PowerPoint
  • Required Intermediate Microsoft Access
  • Required Intermediate Microsoft Outlook

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Last Updated On: 12/9/2015