Provider Specialist


BASIC FUNCTION: Effectively negotiate complex, competitive contractual relationships with providers according to prescribed guidelines in support of national and regional network strategies. Manage provider compensation, reimbursement and pricing development activities. Responsible for understanding and managing medical cost issues and initiating appropriate actions.

This position is responsible for the tactical implementation of activities related to developing and maintaining the local community health system and managing IPA, PHO hospital and ancillary services delivery system. Financial goals (e.g.,control medical cost trends, profitability) assure that the delivery system is cost effective, marketable, and stable and offer broad access. Long-term mutually successful physician, hospital and ancillary provider relationships exist.




Back to Work Enviroment

We believe that diversity is more than differences in gender, race, culture, religion and sexual orientation - it is fostering a variety of backgrounds, skills, ages and abilities in an environment that supports and nurtures these differences. We understand that the diverse backgrounds, experiences, and talents of our employees enrich our performance, enhance our products, and improve our service.


Renaissance is an Equal Employment Opportunity Employer and has a diverse population of employees. What brings us together is our common goal of service excellence. Renaissance's goal is to develop a team of happy, loyal and productive employees who are eager to help us produce superior service for our customers.


 


 

We are a serious company working to become a leader in the transformation of the healthcare industry and to make a difference in the communities in which we serve. However, that does not mean we don't enjoy being at the workplace and having fun along the way! In fact we state in writing:

 

We work hard, we play hard,

we reward results well.