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Provider Contract Specialist
Provider Contract SpecialistTruHearing • Draper, UT, US
Provider Contract Specialist

Provider Contract Specialist

TruHearing • Draper, UT, US
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  • serp_jobs.job_card.full_time
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Overview

About TruHearing

TruHearing is a rewarding, fun and friendly, mission-based organization that makes a real difference towards improving people's lives. Our employees enjoy a positive working environment in a company that has experienced rapid growth. We offer a comprehensive benefits package, educational assistance, and opportunities for advancement.

TruHearing is the market leader and a force for positive change in the hearing healthcare industry. We reconnect people to the richness of life through industry-leading hearing healthcare solutions. We work with insurance companies, hearing aid manufacturers, and healthcare providers to reduce prices and expand access to better hearing care and whole-body health. TruHearing is part of the WS Audiology Group (WSA), a global leader in the hearing aid industry. Together with our 12,000 colleagues in 130 countries, we invite you to help unlock human potential by bringing back hearing for millions of people around the world. The WSA portfolio of technologies spans the full spectrum of hearing care, from distinct hearing brands and digital platforms to managed care, hearing centers and diagnostics locations.

The Opportunity

The purpose of this role is to expand and manage a national Medicaid network of healthcare providers by proactively building relationships with potential partners, negotiating and securing contracts to support overall business growth and retention goals, and ensuring the agreements comply with industry regulations.

Responsibilities

  • Business Development : Drive demand for TruHearing within the assigned territory by proactively reaching out to Medicaid and Medicare network providers by phone and video conference to build relationships, communicate the value proposition of partnering with TruHearing, address barriers or concerns, and secure the partnership.
  • Achieve sales quota on a monthly, quarterly, and annual basis.
  • Analyze coverage across the company's hearing care provider network, design plans and creative solutions to close geographic or strategic gaps in coverage.
  • Contract Management & Provider Education : Negotiate contracted rates and terms with hospitals, universities and hearing health providers; ensure contracts align with Medicaid reimbursement structures and state-specific guidelines; develop and execute single-case agreements for out-of-network or specialized services.
  • Maintain a deep clinical knowledge of hearing aid products as needed to provide the necessary education to providers, including brands such as Oticon, Phonak, Resound, Signia, Starkey and Widex, and related software and hardware benefit advantages.
  • Strategic Collaboration : Partner with the Sales and Account Management team to support Medicaid expansion and retention goals of the Health Plans; maintain alignment with Network Management, Legal, Sales and Account Management, and Operations through regular collaboration meetings; work effectively with territory counterparts to execute plans, prospect, develop and grow the business.

What skills do you need to bring?

  • Customer Focus – Develops customer relationships over time, provides services and offerings in the right moment.
  • Sales Execution – Applies sales skills and resources in common situations with a moderate level of guidance.
  • Influence and Persuasion – Uses credibility, logic, and emotion to influence or persuade.
  • Strategic Thinking – Interprets broad and complex issues, understands causes / effects, benefits / risk, inputs / outputs.
  • Resilience – Maintains energy in the face of occasional strenuous work demands.
  • Accountability – Operates autonomously in most situations, communicates limits and needs.
  • Productivity – Performs at a high level with impact to the organization.
  • Quality – Sets and exemplifies quality standards for area of responsibility.
  • Education & Experience

    Required

  • Bachelor's degree in related field and three (3+) years of experience in healthcare provider contracting.
  • A combination of education and experience may be considered in lieu of a formal education
  • Strong contract negotiation skills, analytical skills, and interpersonal skills.
  • Familiarity with Medicaid reimbursement methodologies and managed care principles.
  • Preferred

  • Bachelor's degree in related field and five (5+) years of experience in healthcare provider contracting.
  • Experience working with managed care contracts, preferably Medicaid.
  • Benefits

    TruHearing offers a generous compensation and benefits package including health coverage, a fully vested 401k match, education assistance, fully paid long and short-term disability, paid time off and paid holidays. We are conveniently located across the street from the Draper FrontRunner station and subsidize the cost of a UTA pass with access to FrontRunner, TRAX and regular bus service – employee cost is less than $2 per day. You'll work in an exciting and fun environment and have the opportunity to grow with us.

    Equal Opportunity

    TruHearing is an Equal Opportunity Employer who encourages diversity in the workplace. All qualified applicants will receive consideration for employment without regards to race, color, national origin, religion, sex, age, disability, citizenship, marital status, sexual orientation, gender identity, military or protected veteran status, or any other characteristic protected by applicable law.

    Job postings

  • Seniority level : Mid-Senior level
  • Employment type : Contract
  • Job function : Strategy / Planning and Information Technology
  • Industries : Wellness and Fitness Services
  • We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

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