USA
165 days ago
(Arizona) Part Time Senior Network Contractor I – Large Groups Contracting
(Arizona) Part Time Senior Network Contractor I – Large Groups Contracting ** Although all positions are currently filled, we will continue accepting resumes in case additional consultants are needed. ** EWINGS is recruiting a part-time contractor (20 hours/week) to support a health plan’s expansion efforts within Arizona for their individual and family products. Preference will be given to contractors residing in Arizona with active local provider relationships. Project Highlights + Start Date: Current + Anticipated End Date: 12/31/25 + This role is telecommute based, but may require in-person visits to providers. + Hourly reimbursements depend on skillset, experience, and remaining positions available. Responsibilities + Serve as the lead contractor for negotiations with large groups, IPAs, and specialty providers. + Leverage exceptional cold-calling skills to establish communication, introduce the plan, and secure contracts. + Lead efforts for contracts involving non-standard arrangements requiring high-level negotiation skills. + Assist the Project Director in coordinating the contracting team. Manage Contracting Processes + Identify potential providers by geographic and specialty needs using provided data. + Call providers, establish relationships, and initiate contracting discussions using client-provided marketing materials. + Send contracts to providers, negotiate rates within the client’s provided range, and manage other terms of the agreement. + Evaluate and negotiate contracts in compliance with client contract templates and standards. + Submit completed contracts with all necessary documentation and information. + Follow up with colleagues and clients to keep contracts moving forward. Capture Activities + Enter detailed notes for every outreach, including contact type, conversation summary, and next outreach date. + Capture and update contract status per client tracking processes. + Notate which contract templates have been sent to the provider. + Update provider demographics as appropriate. Provider Relations + Provide feedback from prospective and newly contracted providers to the client. + Perform problem analysis, identify solutions, and engage client stakeholders when necessary. + Inform providers of the client’s general credentialing process and requirements. + Escalate redlines when necessary and follow up with the client on provider requests.
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