• Manages contract performance and drives the development and implementation of value-based contract relationships in support of business strategies • Recruits providers as needed to ensure attainment of network expansion and adequacy targets • Accountable for cost arrangements within defined groups • Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities • Responsible for identifying and managing cost issues and collaborating cross-functionally to execute significant cost saving initiatives • Represents company with high visibility constituents, including customers and community groups • Promotes collaboration with internal partners • Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements • Collaborates with internal partners to assess effectiveness of tactical plan in managing costs • May optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met • Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information