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JobsDoctor JobsHealthcare Jobs in New JerseyMgr, Network & Physician Contracting

Pays Salary Range: $109,600 - $149,625

Horizon Blue Cross Blue Shield of New Jersey logo

Horizon Blue Cross Blue Shield of New Jersey

New Jersey

Mgr, Network & Physician Contracting

General MedicineIncludes callFull-Time
Posted 5mo ago

About the Role

$110-150k salary. Health insurance. Dental and vision. Generous PTO. Tuition reimbursement. Management role.

Join Horizon Blue Cross Blue Shield of New Jersey as a Mgr, Network & Physician Contracting in New Jersey. Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience.

Key Responsibilities

  • Manage and negotiate contracts in compliance with Horizon reimbursement standards, and other key controls.
  • Assist and implement provider contracting policies and procedures that are consistent with industry best practices and regulatory.

Requirements

  • The manager will perform quarterly analyses of the provider network from a cost, coverage and growth perspective.
  • Provide leadership in evaluating opportunities to expand or modify the network to meet the Enterprise goals.
  • Manages budgeting and forecasting initiatives for product lines to network costs and provider contracts.

Benefits & Compensation

  • Salary: Salary Range: $109,600 - $149,625

Work Schedule

  • Full-Time position.
  • No explicit call, weekend, or night shift information provided.

Apply to join Horizon Blue Cross Blue Shield of New Jersey as a Mgr, Network & Physician Contracting.

Qualifications

Experience
5+ years of experience

Key Skills

Network Contracting StrategyValue-Based ContractingFee-For-ServiceNegotiationContract ManagementFinancial StrategyLegal TermsRate ProposalsNetwork AdequacyCost AnalysisBudgetingForecastingContract LanguageComplianceTeam Leadership

Position Insights

AI ANALYSIS

This role scores 2.1/10 on work-life balance for General Medicine roles.

Career trajectory: This position offers advancement within 2-3 years. The compensation analysis shows this employer pays...

Benefits analysis: Compared to 47 similar roles, this listing's benefits package ranks...

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Horizon Blue Cross Blue Shield of New Jersey logo

About Horizon Blue Cross Blue Shield of New Jersey

Insurance
Newark, NJ
5,001-10,000 employees
Website

Benefits & Perks

Health Insurance
Dental
Vision
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
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