Contracts Specialist at Magellan HRSC, Inc.
Posted in Legal 15 days ago.
This job brought to you by eQuest
Location: Glen Allen, Virginia
The incumbent serves a key role, responsible for the strategic and tactical direction of all development, staffing, planning, managing, and measuring the overall activities for the entire division related to every aspect of Ad hoc Provider Authorizations and Referrals, to all types of providers. The position is responsible for developing and implementing national and regional plans that meet new and existing customer requirements, assures member access to qualified providers for authorized services, and collaborates with key leaders (CMC and Field Network) to maintain limits for budget plan/cost of care projections. This position serves as the strategic business partner to other leadership from all areas of the organization CMC, Network Sales, Sales, Account Management, Training, and Magellan-wide to convey Ad hoc process related trends and statistical data in support of each of these departments' business strategies.
General Job Information
CountryUnited States of America
FLSA StatusUnited States of America (Non-Exempt)
Recruiting Start Date3/8/2018
Date Requisition Created3/7/2018
EducationGED, High School (Required)
License and Certifications - Required
License and Certifications - Preferred
Other Job Requirements
Education: HS/GED Field(s) of study: In an analytical or logical thinking field or compatible work experience
Industry: Health care administration experience (finance/contract administration, physician/provider relations, technical writing for policy & procedural) with strong preference for managed care experience.
Job Specific: Equivalent combination of experience and education
Other: Proven ability to strategically lead an organization toward the attainment of its goals and objectives, mission and values. Excellent communication and negotiation skills. Demonstrated team building skills to promote an environment of diversity, collaboration and recognition.Computer Skills: Microsoft Office: Word, Excel and Access, Preferred Qualifications:
Education: Bachelor's Degree
Experience: At least 5 years of progressively more responsible health care administration experience (finance/contract administration, physician/provider relations, technical writing for policy & procedural) with strong preference for managed care experience.Knowledge, Skills, Abilities: Excellent organizational skills required. The ability to handle multiple tasks at one time. Must have effective problem solving skills. Must have excellent writing skills. Must have the ability to be and work as a team member. Works in a team environment, providing support to team members as assigned. Satisfactorily completes all required trainings within specified time frames. Provides suggestions for improvement and alerts management to barriers to successful performance.
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled