The Hospital 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
