Mgr Contract Development in Colorado Springs, CO at Beacon Health Options

Date Posted: 3/29/2020

Job Snapshot

Job Description

We Help People Live their Lives to the Fullest Potential!

For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a ‘world-class’ candidate experience from the moment you click ‘Apply’! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.

Do you have a passion for helping others? If so, we are looking for you!

Beacon is currently seeking a Manager Contract Development/Network Manager to join our team out of our Colorado Springs, CO office. The Network Manager will be responsible for leading all territory network development and contract management activities for active contracts including Kaiser Permanente.   The position is responsible for network development, recruiting for new business, contracting, and rate negotiations.  Duties include identifying and contracting new/ re-contracting existing providers around Beacon’s need for behavioral health providers, negotiating rates, drafting provider services and facility agreements, sending and receiving credentialing applications, overseeing the resolution of language changes and securing executed contracts with providers, developing recruitment plans and reports and ensuring rates negotiated are within established guidelines.

What does a typical day look like?

  • Negotiates rates and contract terms with providers and facilities.
  • In conjunction with internal and external stakeholders, secure executed agreements with identified out of network providers for inclusion in the Beacon Health network.
  • Performs reimbursement analysis on providers/facilities that are outside of the targeted rate schedule or performance standards and develop strategies for cost reductions, member needs and increasing quality.
  • Identifies opportunities for cost savings and process improvements related to the contracting process.
  • Review, draft and document suggested language changes, and oversee resolution of all proposed changes to the provider agreement.
  • Ensures that Contract Language is in compliance with plan agreements and within all state and federal regulatory and NCQA standards.
  • Gather, review and submit credentialing applications, as required, for network development and management.
  • Provides general support to all network development activities.
  • Strategizes with other members of the management team and client/plan to ensure access and availability of providers meets current standards.
  • Collaborates with other departments to address and resolve operational issues as related to negotiated contract language.
  • Prepares reports and analyze data as directed by the Provide Relations Director or other members of the management team.
  • Build collaborative relationships with client health plan counterparts to ensure seamless customer service.
  • 30% overnight and local travel. Driver license required
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What you Contribute?

Education: Bachelor’s degree or equivalent experience in health care field required

 

Knowledge, Skills & Abilities:

At least 3 years’ experience rate & contract language negotiation to include facility and higher level of care experience; In-depth knowledge of all facility, and some provider reimbursement methodologies. Behavioral health experience a plus. Knowledge of managed care contract requirements to include state and federal regulatory requirements for Medicare and Medicaid plans and CMS guidelines.

 

What Makes Us Different?

  • Here, it’s not just a job – it’s an opportunity to change lives.
  • Our employees are learners, innovators and original thinkers.
  • Our mission and values guide the way we treat our members, providers and each other.

What We Have to Offer:

  • Healthcare benefits available starting day 1!
  • Health & wellbeing incentives, such as gym membership reimbursement
  • 401K with company match to help reach your future financial goals
  • Generous PTO, because we know life happens outside of work

If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options company, is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from #GD

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