This role leads complex provider negotiations and supports the strategic direction and daily management of contracting and network activities for a local market
Job Summary
This role leads complex provider negotiations and supports the strategic direction and daily management of contracting and network activities for a local market.
The work directly supports access to high-quality, affordable healthcare for patients and families.
Partner closely with internal teams, including Claims, Medical Management, Credentialing, Legal, Compliance, Finance, Sales, Marketing, and Service Support network development, alternative network strategies, and related analytics.
Matching Summary
This role leads complex provider negotiations and supports the strategic direction and daily management of contracting and network activities for a local market.
Skills & Requirements
Must-have
provider contracting and negotiation
fee-for-service and value-based reimbursement
manage unit cost targets
develop and lead initiatives
financial models and impact analyses
resolve escalated provider issues
Nice-to-have
consultative support to providers
strong relationship-building skills
collaborative and adaptable professional
performs well in fast-paced environments
Key Requirements
Bachelor’s degree or equivalent relevant industry experience
3+ years of experience in a healthcare environment
3+ years of provider contracting and negotiation experience
Advanced Excel skills
Proven negotiation, problem-solving, and decision-making skills