Contract Manager II - Sedgwick Claims Management Services, Inc.

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

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($45,790 - $62,418). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Ability to meet or exceed Performance Competencies

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