(Arizona) Part Time Senior Network Contractor I - Large Groups Contracting

Part Time Senior Network Contractor I - Large Groups Contracting (Arizona)

EWINGS is recruiting a Part Time Senior Network Contractor I (20 hours/week) to support a health plan's expansion efforts within Arizona for their individual and family products.

Preference will be given to contractors residing in Arizona with active local provider relationships.

Project Highlights
?? Start Date: ASAP
?? Anticipated End Date: 12/31/25
?? Though this role is telecommute based, it may be necessary to visit some providers in person
?? Hourly reimbursements depend on skillset, experience, and remaining positions available.

Senior Network Contractor I

Typically serves as the lead contractor for negotiations with large groups, IPAs, and specialty providers. High-level resources that can leverage their exceptional cold-calling skills to quickly open a line of communication, introduce the plan, engage in meaningful conversations, and secure contracts satisfying Client plan financial goals. These resources lead efforts for contracts involving non-standard arrangements that require a high level of negotiation skills, under the guidance and direction of the Project Director and Client. May assist the Project Director in the coordination of the contracting team.

Manage Contracting Processes
?? Within the provided data, identify potential providers by geographic and specialty needs.
?? Using supplied data, call providers, establish a relationship, and initiate a contracting discussion. May use client provided marketing materials as appropriate.
?? Send contracts to providers, negotiate rates within client provided negotiation range, manage other terms of the agreement.
?? Evaluate and negotiate contracts in compliance with client contract templates, reimbursement structure standards, and other key process controls. Negotiate rates within the client's provided negotiation range.
?? Submit completed contracts. Ensure that all necessary documentation and information are included in the completed contract packets.
?? Follow up with colleagues and clients when necessary to keep a contract moving forward.

Capture Activities

In the prospect record, the Senior Network Contractor I will:
?? Enter detailed notes for every outreach that include the type of contact, a summary of the conversation/communications, and the date that the next outreach attempt is scheduled.
?? Capture and update the contract status as they flow through the process, per client tracking processes.
?? Notate which contract template(s) have been sent to the provider.
?? Update provider demographics as appropriate.

The Senior Network Contractor I will participate in project progress meetings to regularly report on their progress.

Provider Relations
?? Provide feedback from prospective and newly contracted providers to the client.
?? Perform problem analysis, identify solutions, and engage client stakeholders when necessary.
?? Inform provider of client's general credentialing process and requirements.
?? Escalate redlines when necessary.
?? Follow-up with client on redlines and other provider requests.

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