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Provider Contract Negotiation Manager

ManagerManagerFull TimeRemoteTeam 10,001+Since 1963H1B No SponsorCompany Site LinkedIn

Location

Texas

Posted

33 days ago

Salary

$60.3K - $132.6K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Negotiate competitive contracts with healthcare providers, ensuring alignment with internal guidelines and financial standards. • Draft and review contract language, collaborating with cross-functional teams for non-standard terms. • Conduct financial and competitive analyses to achieve best-in-market discounts and meet financial targets. • Manage contract performance and coordinate with internal departments to resolve issues related to contract execution, loading, and ongoing maintenance. • Support the implementation of value-based contracts in line with business strategies. • Build and maintain strong relationships with key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy. • Negotiate settlements and recruit providers as needed to ensure network adequacy and support expansion goals. • Maintain accountability for specific medical cost initiatives.

Job Requirements

3+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis.
Proficiency in Microsoft Word, Excel, and Office Suite.
Demonstrated ability to use competitive and financial data to negotiate favorable contracts.
Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills.
Ability to manage multiple negotiations and tasks simultaneously, meeting deadlines and maintaining strong relationships internally and externally.
Experience with value-based contract negotiation or management is a plus.
Bachelor’s degree or equivalent combination of education and professional experience.

Benefits

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.