• Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers. • Manages contract performance in support of network quality, availability, and financial goals and strategies. • Recruits providers as needed to ensure attainment of network expansion goals, achieve regulatory and/or internal adequacy targets. • Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. • Provides Subject Matter Expert support for questions related to recruitment initiatives, contracting, provider issues/resolutions, related systems and information contained. • Provides guidance and share expertise to others on the team. • Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities. • Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. • Assists with the design, development, management, and or implementation of strategic network configurations, including integration activities. • Optimizes interaction with assigned providers and internal business partners to manage relationships and ensure provider needs are met. • Ensures resolution of escalated issues related to claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.