Overview

Reviews contracts and facilitates contracting with the VNS Health Plans provider network as it pertains to all provider types and for all VNS Health offered products. Negotiates and coordinates the implementation of provider agreements. Supports the strategic alignment of the network to align the company's various product offerings. Works under general supervision.

What We Provide

• Referral bonus opportunities    
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays  
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability    
• Employer-matched retirement saving funds  
• Personal and financial wellness programs   
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care    
• Generous tuition reimbursement for qualifying degrees  
• Opportunities for professional growth and career advancement   
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities    

 

What You Will Do

• Negotiates contractual terms, services and rates of reimbursement with providers to foster network expansion and maintenance within established guidelines.
• Negotiates single case and letter of agreements for out of network providers.
• Reviews contracts to ensure regulatory and financial compliance.
• Ensures that all contract templates are compliant with State and Federal guidelines.
• Manages the implementation of key agreements.
• Works with other VNS Health business units to coordinate efforts and leverage resources in provider contracting, network performance, reimbursement and other related matters.
• Keeps abreast of current industry trends, governing regulations, reimbursement practices and market players.
• Keeps VNS Health Plans management informed of trends/changes and makes recommendations based on this information.
• Participates in special projects and performs other duties as assigned.

Qualifications

Education: 

• Associate's Degree in related field, or an equivalent combination of relevant education and experience required

Work Experience:

• Minimum three years of related experience in health care or related field, with a total of 5 or more years in a professional working environment required
• Experience working with network service providers and negotiating/administering contracts required
• Must be familiar with and have participated in contract language and rate negotiations with one or more of the following provider types; physicians and physician groups, SNF, DME, homecare, hospitals. required 
  
  

Pay Range

USD $70,200.00 - USD $87,700.00 /Yr.
About Us

VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us — we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.