What are the responsibilities and job description for the Sunshine State Health Plan Negotiator position at Sunshine State Health Plan?
Become a key player in shaping the future of healthcare by joining Sunshine State Health Plan as a Contract Manager - Florida. This exciting opportunity allows you to develop and maintain strong relationships with healthcare providers in the Panhandle region.
About Us
Sunshine State Health Plan is transforming the health of our communities, one person at a time. As a diversified, national organization, we offer access to competitive benefits, including a fresh perspective on workplace flexibility.
Responsibilities
- Negotiate and manage contracts with healthcare providers, ensuring alignment with corporate, health plan, and state guidelines.
- Recruit and develop a robust provider network plan, focusing on building strong relationships with potential providers.
- Collaborate with internal teams and contracted providers to implement and maintain contract compliance and accurate claims adjudication.
- Evaluate and monitor providers' performance standards and financial performance of contracts.
- Support credentialing activities and facilitate provider focus groups.
Requirements: Bachelor's degree in Healthcare Administration, Business Administration, Marketing, or related field, or equivalent experience. 2 years of contracting, provider relations, or other related experience preferably in a healthcare, managed care, or insurance-related environment.
Pay Range: $55,100.00 - $99,000.00 per year. Enjoy a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible work schedule.
Salary : $55,100 - $99,000
