Senior Network Development Contractor
Senior Network Development Contractor

Job Details

Global Excel Published: August 10, 2017
Location
Job Type
Category

Description

This position exists to set GEM apart as an international payer to the US hospital, physician and ancillary providers that do business with GEM. This position involves 4 key components; to contract at preferred rates with key healthcare providers and provider systems, market GEM to the provider community, create customized provider/client partnerships through GEM to ensure efficient processing of claims at fair rates based on fixed pricing schedules and finally, to lead changes in contracting initiatives that permit GEM to improve their service offerings to clients and providers alike.

Qualifications

• Knowledge of US Healthcare industry and driving forces
• Knowledge of industry players (medical providers, networks, software vendors, competitors…)
• Ability to analyze processes and enable change
• Ability to turn concepts into practice
• Market research experience preferred
• Excellent interpersonal and customer service skills, with demonstrated ability to influence internal and external resources.
• In-depth understanding of managed care business processes, data (ICD9, ICD10, CPT4, DRG, ETG, ERG, etc), systems, case-mix adjustment, and applications for claims payment, providers, and utilization management.
• Superior problem solving, decision-making and negotiating skills.
• Ability to engage in strategy and vision development
• Ability to set priorities and make decisions
• Business and Industry Acumen
• Strong written and verbal communication skills and experience with formal presentations
• Strong knowledge and experience in complex human resource management

Related Jobs

August 10, 2017
August 10, 2017
August 10, 2017
August 10, 2017

Supporting Partners