9901 - Signature Advantage

9901 – Signature Advantage

Louisville, KY, US, 40299


Signature HealthCARE is a family-based healthcare company that offers integrated services in 10 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine.

Signature Advantage, a subsidiary of Signature Healthcare, is an Institutional Special Needs Plans (I-SNP) which is a Medicare Advantage Plan. As an I-SNP, we provide a Medicare Advantage plan for people who are eligible for Medicare and who reside in our partner nursing facilities.

Our Sacred Seven Values of Heroic, Compassion, Teamwork, Respect, Integrity, Patience and Positivity make this an incredible place to serve and make a difference in the lives of our patients, residents, Stakeholders and communities!

How you will make a difference

  • Develop
    and maintain a robust network of providers that meets CMS requirements and
    membership needs.
  • Works
    across department lines to collaborate for the success of providers and members

How you will spend your

  • Meet the physical and sensory requirements
    stated below and be able to work in the described environment.
  • Develop and contract provider network that meets
    CMS requirements for Network Adequacy and membership needs.
  • Evaluate and negotiate contracts in compliance
    with company contract templates, reimbursement standards and other key process
  • Establish and maintain strong business
    relationships with hospitals, physicians and other ancillary providers in conjunction
    with provider services.
  • Research and plan for growth in future market
    development including researching, recruiting and negotiating with providers.
  • Provide Education and training on new contract
    relationships to providers.
  • Other special projects and duties, as assigned.

The qualifications you will need

  • Three
    (3) or more years with provider contracting and servicing experience, including
    Hospitals and ancillary contracts.
  • Three (3) or more years with network
    development experience.
  • In-depth
    knowledge of facility/ancillary reimbursement methodologies and Clinical
    requirements for quality.
  • Contribute
    to setting team direction, resolve problems and provide guidance to members of
    the team.
  • Ability
    to travel when necessary.
  • Excellent
    verbal and written English communication skills.
  • Demonstrated
    advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and
    Intranet navigation.
  • Highest
    level of professionalism with the ability to maintain confidentiality.
  • Customer
    service oriented with the ability to work well under pressure.
  • Strong
    attention to detail and accuracy, excellent organization skills with ability to
    prioritize, coordinate and simultaneously maintain multiple projects with high
    level of quality and productivity.
  • Strong
    analytical and problem-solving skills.
  • Ability
    to take initiative and make suggestions for improvements.
  • Ability
    to work with minimal supervision, take initiative and make independent
  • Ability
    to deal with new tasks without the benefit of written procedures.
  • Approachable
    flexible and adaptable to change.
  • Function
    independently, and have flexibility, personal integrity, and the ability to
    work effectively with stakeholders and vendors.

Your work environment

  • You’ll work mostly indoors on floors that are
    tiled or carpeted.
  • You’ll be around other co-workers, residents and
    their guests.
  • You’ll have possible exposure to occasional
    slippery floors, chemicals, sharp objects, and hazardous materials and waste
    (including human), blood borne pathogens, and communicable diseases.
  • You’ll be around possible high-stress medical
    and/or life-threatening situations.

Physical and Sensory

  • This role requires moderate physical activity.
  • Standing and/or walking for more than two (2)
    hours per day.
  • Sitting for more than two (2) hours at a time.
  • Bending and/or stooping for more than one (1)
    hour at a time.
  • Requires writing and/or computer work with
    repetitive typing and concentrating on computer screen and/or documents for more
    than two (2) hours at a time.
  • Travel, including flying and/or driving, for
    more than one (1) hour at a time.

Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories.