Job Posting

RemX seeking Healthcare Consultants for a large Healthcare company in TX. 

Start Date ASAP

Must reside in Texas, Oklahoma, Georgia, Florida and Michigan

Length of Assignment Temp with Potential for Hire

Pay Rate $28/hr 

Schedule M-F 8:30 am - 5:00 pm PST

Job Duties

Recruits and negotiates physician and/or providers;

Recruits and negotiates physician and/or provider contracts in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals of Aetna Medicaid;

Develop, contract, maintain and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members;

Foster growth of managed care products;

Enhance profitabilty of Aetna Medicaid

Experience

· Proven working knowledge of standard provider contracts, terms and language

· In-depth knowledge of the managed care industry and practices

· Accountable for all aspects of physician recruitment and contracting as well as ad/hoc network contracting, as assigned

· Responsible for negotiating or re-negotiating individual provider, group, multi-specialty practices, behavioral health (practitioners and facilities),hospitals-and hospital based physician contracts to satisfy specific network goals and objectives

.  Demonstrated ability to sufficiently work with provider(s) directly for the purposes of executing a high percentage of provider agreements and related contracting documents · Proficient in Excel and Word

· Ability to use internet Search Engines