Network Development Consultant
San Diego County, California, United States
• Maintain the develop of the southern California provider network for physicians, yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. • Evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with Hospitals and Physicians to ensure the network composition includes an appropriate distribution of provider specialties.