Provider Contracting Professional
Core
Support provider contracting activities including negotiation, analysis, execution, and maintenance of physician and provider agreements within a healthcare environment focused on senior populations.
Role type
Provider Contracting Professional
Builds
Provider networks and managed care agreements
Domain
Healthcare / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
contract administration, financial analysis, provider network development, cross-functional collaboration, attention to detail, analytical judgment, multi-priority management
Preferred skills
ACO or IPA provider network support, provider relations, provider contract management systems, value-based contracting
Technologies
contract management and tracking systems
Responsibilities
Support drafting, review, processing, and maintenance of provider contracts and amendments; Collaborate with market engagement, leadership, and legal teams to facilitate contract execution; Assist in communicating contract terms and reimbursement structures to provider groups; Conduct initial financial analyses of proposed contract terms; Maintain accurate contract files and records; Support provider network development by identifying potential providers; Prepare reports and status updates supporting contracting initiatives
Seniority
Mid-level, hands-on IC
