What are the responsibilities and job description for the Contracting Specialist (Albany) position at VNS Health?
Overview
Reviews contracts and facilitates contracting with the VNS Health Plans provider network as it pertains to all provider types and for all VNS Health offered products. Negotiates and coordinates the implementation of provider agreements. Supports the strategic alignment of the network to align the company's various product offerings. Works under general supervision.
Qualifications
Pay Range
USD $70,200.00 - USD $87,700.00 /Yr.
About Us
VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
VNSNY is an equal opportunity employer M/F/D/V https://tbcdn.talentbrew.com/company/1238/v1_0/img/eeopost.original.pdf
Reviews contracts and facilitates contracting with the VNS Health Plans provider network as it pertains to all provider types and for all VNS Health offered products. Negotiates and coordinates the implementation of provider agreements. Supports the strategic alignment of the network to align the company's various product offerings. Works under general supervision.
What We Provide
- Referral bonus opportunities
- Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
- Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
- Employer-matched 401k retirement saving program and opportunity for both pre- and post-tax contributions
- Personal and financial wellness programs
- Pre-tax flexible spending accounts (FSAs) for healthcare and dependent careand commuter transit program
- Generous tuition reimbursement for qualifying degrees
- Opportunities for professional growth, career advancementand CEU credits
What You Will Do
- Negotiates contractual terms, services and rates of reimbursement with providers to foster network expansion and maintenance within established guidelines.
- Negotiates single case and letter of agreements for out of network providers.
- Reviews contracts to ensure regulatory and financial compliance.
- Ensures that all contract templates are compliant with State and Federal guidelines.
- Manages the implementation of key agreements.
- Works with other VNS Health business units to coordinate efforts and leverage resources in provider contracting, network performance, reimbursement and other related matters.
- Keeps abreast of current industry trends, governing regulations, reimbursement practices and market players. Keeps VNS Health
- Plans management informed of trends/changes and makes recommendations based on this information.
- Participates in special projects and performs other duties as assigned.
Qualifications
Education:
- Associate's Degree in related field, or an equivalent combination of relevant education and experience required
Work Experience:
- Minimum three years of related experience in health care or related field, with a total of 5 or more years in a professional working environment required
- Experience working with network service providers and negotiating/administering contracts required
- Must be familiar with and have participated in contract language and rate negotiations with one or more of the following provider types; physicians and physician groups, SNF, DME, homecare, hospitals. required
Pay Range
USD $70,200.00 - USD $87,700.00 /Yr.
About Us
VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
VNSNY is an equal opportunity employer M/F/D/V https://tbcdn.talentbrew.com/company/1238/v1_0/img/eeopost.original.pdf
Salary : $70,200 - $87,700