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- Foster deep relationships/partnerships with key network/payor and critical third party decision makers. - Maintain ongoing relationships with networks/payors while identifying new contacts to expand and enhance existing relationships. - Partner with and participate in business development efforts and evaluation of expansion feasibility including proactive payor discussions- Assist leadership in developing overall network/payor strategy in new and emerging markets in the Region.- Work professionally and collaboratively, as the network/payor expert, to promote Nova Medical Centers' service offerings in the Region.- Provides network/payor support to sales and marketing.- Takes lead in coordinating resolution of network/payor issues.- Maintains up-to-date competitive information, including: network participation, network reimbursement, provider incentive arrangements, medical and utilization management practices, technology and electronic communication methods used.- Knowledge and understanding of managed care policies and practices that meet local, state and federal regulatory requirements.- Establish strong and supportive working relationships with other Nova departments/divisions.- Performs other duties as assigned.
- Foster deep relationships/partnerships with key network/payor and critical third-party decision makers. - Maintain ongoing relationships with networks/payors while identifying new contacts to expand and enhance existing relationships. - Assist leadership in developing overall network/payor strategy in new and emerging markets in the Region.- Partner with and participate in business development efforts and evaluation of expansion feasibility including proactive payor discussions.- Work professionally and collaboratively, as the network/payor expert, to promote Nova Medical Centers' service offerings in the Region.- Provides network/payor support to sales and marketing.- Takes lead in coordinating resolution of network/payor issues.- Maintains up-to-date competitive information, including network participation, network reimbursement, provider incentive arrangements, medical and utilization management practices, technology and electronic communication methods used.- Knowledge and understanding of managed care policies and practices that meet local, state and federal regulatory requirements.- Establish strong and supportive working relationships with other Nova departments/divisions.- Performs other duties as assigned.