Provider Contracting Sr. Manager (AVP, Network Management)
Core
Lead a team to negotiate complex contracts with health systems and hospitals, driving strategies for high-quality, affordable care in the commercial business.
Role type
Senior Individual Contributor (AVP) Provider Contracting Manager
Builds
Fee-for-service and value-based contracts with health systems, hospitals, and large provider groups
Domain
Healthcare / Managed Care / Provider Network Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Provider contracting and negotiation, managing senior-level provider relationships, reimbursement methodologies (value-based/incentive-driven), relationship building with integrated delivery systems, financial analysis, performance modeling, scenario planning
Preferred skills
Leadership in matrixed organizations, managed care business models, network strategy, leading through change
Technologies
Microsoft Office
Responsibilities
Lead and develop a high-performing contract team, negotiate complex contracts with health systems and hospitals, build trusted provider partnerships, champion cross-functional initiatives, collaborate with matrix partners (Claims, Medical Management, Credentialing), oversee provider relationship management and network implementation
Seniority
Senior, hands-on IC with team leadership
