Senior Strategic Provider Network Contract Lead
Posted 5 days ago
providence health plan groupRenton (WA)
Medical and Health Services ManagersPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
SENIORITY
Lead
About the role
Providence Health Plan Group in Renton, WA, is seeking an experienced professional to manage the Network Plan and ensure compliance with URAC and DoD standards. The role involves developing and educating network providers on health plan criteria, as well as conducting negotiations with providers for competitive reimbursement terms.
The ideal candidate will have a strong background in managed care operations, extensive experience in contract negotiations, and a Bachelor’s Degree in a related field. The position offers a hybrid work model and a comprehensive benefits package.
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