Provider Relations, Senior Network Manager (Ancillary Contracting)

Johns Hopkins Healthcare
Hanover, MD
Nov 26, 2021
Nov 29, 2021
Full Time
Provider Relations, Senior Network Manager (Ancillary Contracting) Requisition #: 347923 Location: Johns Hopkins Health Care, Hanover, MD 21076 Category: Non-Clinical Professional Work Shift: Day Shift Work Week: Full Time Weekend Work Required: No Date Posted: Nov. 17, 2021Johns Hopkins HealthCare (JHHC) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHC is a $2.5B business serving over 400,000 lives with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHC has become a leader in provider-sponsored health plans and is poised for future growth. Many organizations talk about transforming the future of healthcare, Johns Hopkins HealthCare is actually doing it. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for the members and communities we serve. If you are interested in improving how healthcare is delivered, join the JHHC team. Position Summary: Responsible for developing and maintaining a cooperative relationship and an excellent rapport with all network providers (including primary and specialty care providers) across all JHHC's lines of business. Task requirements for position: Responsible for provider network development, maintenance and education for EHP/Employee Health Plan, Inc. (EHP), Johns Hopkins HealthCare LLC (JHHC), and Johns Hopkins Community Physicians, and training and mentoring of newly hired Network Managers. Requirements : Education: Requires Bachelor's degree in business management or healthcare administration or related discipline. Work experience may be substituted for degree where appropriate B. Knowledge: Requires a sound knowledge of successful servicing, training, relationship building, negotiation techniques and an awareness of healthcare contracting terms. Familiarity and knowledge of managed care concepts beneficial. C. Skills: Requires strong interpersonal skills to effectively communicate and interact with diverse groups of physicians, office staff, and business-related associates. Requires strong ability to prioritize multiple initiatives and assigned tasks. Requires strong analytical skills. Requires strong written and oral communication skills. Requires basic computer skills and familiarity with various software applications (word processing, spreadsheet, etc.). D. Required Licensure, Certification, Etc.: None. E. Work Experience: Requires a minimum of two to three years prior experience in healthcare delivery program or insurance setting, Provider Relations, a physician's office, group practice, healthcare sales. Experience should include: Provider Relations functions, managed care/provider contracting, knowledge of managed care concepts and information systems. Experience with physician, hospital, ancillary contracting preferred ( Durable Medical Equipment, Home Health, Dialysis). F. Machines, Tools, Equipment: Reliable transportation and the ability to visit multiple providers on a daily basis. PC, PC applications and general office equipment. Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.

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