Provider Contract Representative - St. Luke's Health Plan
Provider Contract Representative - St. Luke's Health Plan
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Job Description
Overview
At St. Lukes Health Plan were on a mission to connect people with affordable hassle-free health care. We are the only health plan in Idaho putting doctors and insurance on the same team to deliver a more efficient and quality health care experience with less stress. Join us in this bold ambitious journey. Wed love to hear from you!
What You Can Expect:
- Initiate negotiate execute and manage reimbursement terms with physicians hospitals and other healthcare professionals or organizations for commercial and Medicare Advantage lines of business.
- Manage contract implementation and support configuration of fee schedules.
- Support oversight of network adequacy requirements including reporting analysis and compliance with regulatory standards.
- Knowledge of varying payment methodologies including but not limited to DRG Fee-for-Service RBRVS Per Diem Per Case and Percent of Charges.
Qualifications:
- Education: Bachelors degree or experience in lieu of
- Experience: 4 years relevant experience.
For more information contact Julie at
Why St. Lukes
At St. Lukes caring for people in the communities we serve is our mission and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans we ensure our team feels supported in their benefits beyond the typical medical dental and vision offerings. We care about you and have fantastic financial and physical wellness options such as: on-site massages on-site counseling via our Employee Assistance Program access to the Virgin Pulse Wellness tool as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Lukes is an equal opportunity employer and does not discriminate against any person on the basis of race religion color gender gender identity sexual orientation age national origin disability veteran status or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
