Network Contractor Provider Network Management

**Work Arrangement:**

This position is a remote field based position. Must reside in South Carolina. Will make provider visits throughout the state.

**Job Summary**

The primary responsibility of the Network Contractor is contractingproviders, the contracting and re-contracting of providers in an established market.

**Essential Functions:**

+ Supports network development strategy.
+ Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication.
+ Responsible for negotiating contracts to execute on network strategy and ensure an adequate, compliant and marketable network.
+ Responsible for negotiating SCA rates and converting SCA providers to contracted.
+ Responsible for recruiting and contracting providers based on identified network adequacy gaps (high complexity).
+ Ensures all contracts are negotiated to be compliant with Federal and State rules, regulation...