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Leidos

Residential Contractor Network Manager

Peoria, IL · On-site

$59K - $106K/yr

As the Residential Contractor Network Manager, you will work to develop and maintain a skilled, diverse, and engaged contractor network that supports the Ameren Illinois Energy Efficiency Program ...

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Network Contractor information

What is the difference between Network Contractor vs Network Engineer?

AspectNetwork ContractorNetwork Engineer
CredentialsCertifications like Cisco CCNA, CompTIA Network+Same certifications often required, plus additional degrees
Work EnvironmentContract-based, project-specific, often freelanceFull-time, in-house or consulting roles within organizations
Employer & Industry UsageUsed by companies hiring temporary network specialistsEmployed directly by organizations or as consultants
Search & Comparison IntentPeople looking for short-term network projects or freelance workIndividuals seeking permanent or long-term network roles

While both Network Contractors and Network Engineers work with network systems, contractors typically operate on a temporary basis, focusing on specific projects, whereas engineers often hold permanent roles with broader responsibilities in designing, implementing, and maintaining networks.

How does a Network Contractor typically collaborate with healthcare providers and insurance companies?

Network Contractors play a crucial role in establishing and maintaining relationships between healthcare providers and insurance companies. They frequently negotiate contract terms, rates, and service agreements, ensuring providers meet network requirements while balancing cost-effectiveness for insurers. Regular communication, problem-solving, and updating contract terms are key aspects of the job, often requiring collaboration with legal, credentialing, and provider relations teams. This role demands strong interpersonal skills and the ability to navigate complex organizational structures to achieve mutually beneficial agreements.

What Does a Network Contractor Do?

As a network contractor, you manage budgets, set targets, and report on performance and financial models for a health care business. Your responsibilities include predicting emerging customer needs, for which you collect and analyze provider data. You develop competitive, stable networks able to meet unit cost performance and trend management goals. Other duties include negotiating contracts with providers in compliance with company policies and reimbursement structure standards, and ensuring a wide distribution of provider specialties. You evaluate and resolve escalated client issues. Some positions require you assist end-to-end provider claims, enhance call quality, and improve the ease of physician portal use if relevant.

What are the key skills and qualifications needed to thrive as a Network Contractor, and why are they important?

To thrive as a Network Contractor, you need a solid understanding of contract negotiation, provider relations, and healthcare network development, often supported by a bachelor’s degree in business, healthcare administration, or a related field. Familiarity with contract management software, provider databases, and regulatory compliance systems is typically required. Strong communication, analytical thinking, and relationship-building skills set top performers apart in this role. These skills are crucial for building and maintaining effective provider networks, ensuring competitive contracts, and supporting organizational growth in a dynamic healthcare environment.

What are Network Contractors?

Network Contractors are professionals or companies that establish, negotiate, and manage agreements between healthcare providers and insurance networks. They ensure that healthcare facilities and practitioners are part of insurance networks so that patients can access care at negotiated rates. Their responsibilities include contract negotiation, compliance with regulatory standards, and maintaining relationships between providers and payers. Network Contractors play a crucial role in expanding access to care and controlling costs for both insurers and patients.
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Network Contractor jobs near you
Coordinator Network II - HP Network

Coordinator Network II - HP Network

CHRISTUS Health

Irving, TX • On-site

Full-time

Posted 4 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 524 frontline employees who took The Breakroom Quiz

526th of 886 rated healthcare providers

Job description

Description

Summary:

Works in collaboration with the Network Management team. Responsible for managing, tracking, and storing all contract documents. Serves as lead facilitator for department planning and supports day-to-day operations. Ensures smooth office operations and trains Level I coordinators and new hires as needed.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. 
  • Participates in contracting efforts for network adequacy to support the Network Contracting Team. * 
  • Manages the department mailbox and distributes communications to the appropriate team member. 
  • Manages provider add process and uniflow assignments. *
  • Manages and tracks all contracts from credentialing submission through effective date. 
  • Coordinates with credentialing team to support network operations. 
  • Fulfills requests for copies of contracts. 
  • Complete regulatory requests. 
  • Assists in scheduling and coordinating team meetings. 
  • Completes additional assigned projects. 
  • Attend meetings for Health Plan as needed or required.
  • Ensure provider information is accurately reflected within the Plan s internal systems as well as in communication tools (i.e., provider rosters, contract logs, etc.). 
  • Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals. 
  • Follow the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). 

Requirements:

Education/Skills 

  • High School Diploma required 
  • Bachelor s degree preferred 
  • Proficient in Microsoft Outlook, Word, Excel, and PowerPoint B. 

Experience 

  • 2 years of relevant experience are required 

Licenses, Registrations, or Certifications 

  • None required 


In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time


What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CHRISTUS Health logo

About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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