Job Opportunities

Directs the development and growth of the QCP provider networks through contract negotiations, relationship development, and credentialing. Primary focus of this role is contracting and negotiating contract terms and directing the credentialing process of same. Typically works with complex providers which may include, but are not limited to, institutional providers, professional providers with more complex contracts, medical groups, ancillary providers, providers in areas with increased competition or where greater provider education around the managed /clinically integrated care concepts are required. Contracts may involve non-standard arrangements that require moderate level of negotiation skills. Works with independence and requires increased use of judgment and discretion. Primary duties may include, but are not limited to: 1)cross-functional projects requiring collaboration with other key areas 2) collaboration with sales team in making presentations to employer groups 3) Serves as a communication link between providers and the carriers/payers/ employers 4) Conducts complex negotiations and drafts documents 5) Assists in preparing financial projections and conducting analysis as required 6)Providing the expertise and leadership necessary to meet the needs of the organization.