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Sedgwick Claims Management Services
Telecommuter TX, TX | Full Time
$99k-134k (estimate)
2 Months Ago
Contract Manager II
$99k-134k (estimate)
Full Time | Insurance 2 Months Ago
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Sedgwick Claims Management Services is Hiring a Remote Contract Manager II

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Contract Manager II PRIMARY PURPOSE: To negotiate and/or renegotiate medical contracts for multiple lines of business in managed care markets. Grow the network by recruiting new medical groups and facilities as requested by clients and to fill gaps in geographical coverage. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Negotiates hospital and medical group contracts for multiple lines of business in the managed care markets. Analyzes market data and financial models. Prepares, negotiates, and administers provider contracts. Develops and expands provider participation within the network. Documents contracts; updates contracts as changes occur. Coordinates customer inquiries. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred, experience will be considered in lieu of a degree. Experience Four (4) years of progressive provider network contract negotiation experience or equivalent combination of education and experience required. Experience in a healthcare management environment including provider contracting, servicing and benefit interpretation preferred. Skills & Knowledge Knowledge of complex contracting scenarios. Excellent written communication. Skilled with Microsoft Excel and Word Ability to negotiate win-win scenarios for Sedgwick and the provider. Excellent Customer Service. Persistence Performs other duties as assigned. Supports the organization's quality program(s). WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer work. Auditory/Visual: Hearing, vision and talking statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Excellent negotiation skills Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Ability to meet or exceed Performance Competencies #medicalcontracts #contractmanager Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Insurance

SALARY

$99k-134k (estimate)

POST DATE

02/01/2024

EXPIRATION DATE

04/27/2024

WEBSITE

sedgwick.com

HEADQUARTERS

MEMPHIS, TN

SIZE

15,000 - 50,000

FOUNDED

1969

CEO

DAVID NORTH

REVENUE

$3B - $5B

INDUSTRY

Insurance

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About Sedgwick Claims Management Services

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. The company provides a broad range of resources tailored to our clients specific needs in casualty, property, marine, benefits and other lines. At Sedgwick, caring counts; through the dedication and expertise of nearly 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. Sedgwicks majorit...y shareholder is The Carlyle Group; Stone Point Capital LLC, Caisse de dpt et placement du Qubec (CDPQ), Onex and other management investors are minority shareholders. For more, see sedgwick.com. More
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