Manager, Network Contracting (Florida)
Core
Manage a team to build and maintain a robust healthcare provider network, negotiate reimbursement rates, and optimize costs through contract analysis and performance monitoring.
Role type
Senior IC manager, healthcare network contracting
Builds
Provider network contracts and relationships
Domain
Health Insurance / Healthcare Network Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
healthcare network contracting, contract negotiation, provider relations, network strategy, data analytics, regulatory compliance, team management, cost optimization, market analysis, corrective action planning
Preferred skills
leadership experience, health insurance market knowledge (Individual/ACA)
Technologies
data and analytics tools
Responsibilities
Implement contracting strategies aligned with network adequacy and cost objectives; negotiate contracts with healthcare providers; analyze provider contracts for optimization; utilize data to inform negotiation decisions; monitor team performance against metrics and SLAs; collaborate on provider servicing and education; monitor network compliance and develop corrective action plans.
Seniority
Manager, hands-on leadership
