Network Assistant Manager

Job Description

Fundamental Components:
Negotiates and executes, conducts high level review and analysis, dispute resoltution and/or settelement negotiations of contracts with larger and more complex, market-based, group/system providers. Manages contract performance and supports the development and implementation of value based contract relationships in support of business strategies. Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Accountable for cost arrangements within defined groups. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.
Responsible for identifying and managing cost issues and initiating appropriate cost saving initiatives and/or settlement activities.
Serves as SME for less experienced team members and internal partners.
Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or implementation of strategic network configurations and integration activities.
May optimize interaction with assigned providers and internal business partners to manage relationships to ensure provider needs are met. Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.
BACKGROUND/EXPERIENCE desired:
Strong communication, critical thinking, problem resolution and interpersonal skills.
5-7 years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts with individual or complex provider systems or groups.
Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.

• Responsible to manage the Institute’s internal network and internet systems to provide a stable working environment for the office and IT help desk.
• Maintain proper Internet either wired or wireless throughout the Institute.
• Computer Virus detection and Removal.
• Assist in implementing firewalls and security devices to ensure network security.
• Maintain backups of all data.
• Responsible for the installation, operation, and maintenance of computer systems
• Configuring/trouble shooting hardware and software, setting up peripherals such as printers or switches, and providing daily support for computer network users.
• Responsible for IT procurement.