Description:

The Provider Contractor Executive is responsible for identifying, recruiting, negotiating and contracting providers to join the Prime Health Services PPO network with a focus on workers' compensation, commercial group health, auto liability, and personal injury with a focus on hospitals and health systems. What You'll Do Recruitment of Providers, ancillary facilities, hospitals and health systems via phone, email, or mail campaigns to negotiate PPO contracts for PHS Core business initiatives; ensuring contracts are cost effective and in compliance with all State, Federal, and corporate requirements Negotiate payment rates and payment terms for new and existing contracts within PHS corporate requirements including terms and conditions associated with State or Federal guidelines Successfully negotiates PPO contracts with large medical provider groups, independent hospitals, integrated care models, and health care systems Analyzes data to develop strategies for contracting and re-contracting Performs data analytics of proposed rates to ensure contracts for new and existing providers align with defined contracting guidelines Meets/exceeds daily call metrics, completion of negotiated contracts as defined by contracting leadership, which is subject to review and modification Manages and oversees assigned contracting tasks for specified geographic regions Ensures contract proposals are complete and accurate prior to sending information to the Provider for review and/or signature Establishes and maintains productive professional relationships with the Provider, hospitals, and health systems Enters progress reports and any notations regarding contracting efforts into PHS proprietary database Travel up to fifty percent (50%) may be required as needed to conduct stewardship meetings with

Providers Requirements:

What We're Looking For Bachelor's Degree in Communications/Business or related field of study from an accredited college or university, or equivalent experience required 8+ years of managed care contract experience preferred Demonstrated negotiation skills and experience interfacing with C-Suite level contacts Competencies Must be able to successfully work in a collaborative, deadline driven work environment Professional, friendly demeanor with excellent written and oral communication skills Flexible, adaptable, creative, organized, and self-motivated Must have strong negotiations and problem-solving skills and the ability to prioritize Strong customer service, public relations, and technical skills required, including Microsoft Office Why You'll Love Working at Prime Health Services Medical Insurance (high deductible plan with an HSA) Dental Insurance Vision Insurance Short-term and long-term disability paid by the company Group term life paid by the company Generous PTO policy Employee recognition programs with monetary rewards Corporate office amenities Regular employee events About Us Prime Health Services (PHS) is a national medical cost containment company specializing in customized PPO network solutions. Since 2001, we've partnered with insurance carriers, TPAs, self-insured groups, and government entities to deliver high-quality healthcare access at discounted rates. Our technology-driven approach allows us to provide fast, flexible, and dependable service to our clients while supporting a collaborative, employee-focused workplace. PI5b7eab7373d7-25404-41210067