My Choice Wisconsin: Contract Negotiation & Network Development Specialist

*My Choice Wisconsin *(MCW) is proud to offer a rewarding work environment as an employer of choice. We are looking to fill a Provider Relations & Network Specialist position in Wauwatosa, WI immediately!*Who We Are*Caring Starts Here where we embrace the whole person. We are Wisconsin’s largest Managed Care Organization (MCO) that serves seniors and adults with disabilities, making a difference in over 50 counties across the state. We are a place where diverse talented and mission-driven professionals choose to come to do the most rewarding work of their lives. You’ll work alongside dedicated and experienced individuals with hearts for service, just like you. You’ll be supported, with meaningful professional development and mentorship. We strive to create an inspiring and exciting environment that attracts the best of the best.*What You Bring to the Table*A passion for a workday that’s never the same. Enjoyment in partnering with teammates and collaborating across the organization toward the same goals. The drive and internal motivation to work autonomously. Adaptability and excitement for change and growth.*What We Offer** Supported autonomy and collaboration* Workday variety* Generous 401(k) program with 100% vesting AND company match on day 1* Competitive compensation* Other fabulous benefits include:* PTO, paid holidays, and a floating holiday* Medical, dental, and vision insurance programs* Employer-paid life and short-term disability insurance*What You’ll Do – Provider Relations & Network Support** Anticipate ongoing network needs by analyzing demographic trends, community priorities, capacity, and utilization data.* Plan strategies for recruitment, selection and retention of qualified Network Providers in geographic areas served by MCW for service categories assigned.* Develop, contract, maintain and enhance relationships with providers.* Collaborate to develop policies and procedures to oversee contract performance and compliance.* Design innovative service delivery methods to improve quality service and ensure cost effectiveness.* Negotiate and award contracts.* Analyze price proposals, service delivery proposals, financial data and other information to determine reasonableness and cost effectiveness of assigned provider service categories.* Negotiate, develop and design cost effective contracts including language and pricing methodologies.* Problem solve network issues related to assigned provider service categories, when necessary and applicable.* Ensure policies and procedures to oversee contract performance and compliance are operating as required.* Conduct fiscal and quality assurance monitoring of providers via on-site and internal auditing processes. Conduct investigations of complaints regarding contract compliance. Analyze findings and impose corrective action if needed, resulting in progressive discipline up to and including contract termination.* Provide technical assistance and training to network providers. Organize and provide orientations, workshops, and provider fairs.* Monitor provider compliance with MCW contract and State and Federal regulations regarding rates, audits, data collection and reporting.*Minimum Qualifications Required** Bachelor’s degree form an accredited college or university in business administration, health sciences, or related field.* A minimum of 4 years’ experience in contract monitoring and/or development.* A minimum of 4 years’ experience in areas of contract negotiation and provider relations.* A valid driver’s license.Preferred Qualifications* Experience working with long-term care and health care programs.* Experience in PACE or Partnership programs._My Choice Wisconsin is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status._Job Type: Full-timeBenefits:* 401(k)* 401(k) matching* Dental insurance* Health insurance* Health savings account* Life insurance* Paid time off* Vision insuranceSchedule:* Day shift* Monday to FridayEducation:* Bachelor’s (Preferred)Experience:* Contract negotiation: 4 years (Preferred)* provider relations: 3 years (Preferred)License/Certification:* Driver’s License (Preferred)Work Location: One location