Details: BlueCross BlueShield of Louisiana Network Development RepresentativeServes as the Plan representative responsible for negotiating competitive provider reimbursementand terms within all contracts to result in improving the cost competitive position of BCBSLA in themarketplace. Makes recommendations to management as it relates to network development, network strategies for implementation and maintenance of contracts, policies, and procedures. Must demonstrate thorough understanding of all provider network requirements, including but not limited to credentialing and accreditation, network participation, complex reimbursement methodologies, contract performance measures, Plan quality initiatives, BCBSA initiatives, and corporate initiatives. Bachelor’s degree in a related field required. Four years of related health care experience may be used in lieu of degree. Minimum of three years of experience in the health care industry focusing on the establishment and maintenance of hospital and facility managed care contractual agreements, face-to-face interaction and business relationships with providers in a managed care setting and managed care hospital and facility contracting experience is required. Managed care contracting experience with other provider types is preferred. Must have ability to respond quickly to requests for provider on-site visits. Must have dependable transportation and be willing to travel frequently throughout the state as necessary.To apply visit our website atwww.bcbsla.com
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