Associate, Network Contracting (Northeast Region)
Core
Managing contracts with key healthcare providers to build and maintain a robust network, ensuring access to quality care, and optimizing costs through provider performance analysis and rate negotiations.
Role type
Associate, Network Contracting & Services
Builds
Healthcare provider network coverage and cost-effective reimbursement structures
Domain
Health Insurance / Healthcare Operations
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
healthcare client management, provider healthcare contracting, financial analysis, data set organization, regulatory compliance, contract negotiation, network strategy development
Preferred skills
Associate's degree or equivalent professional experience
Technologies
claim files, provider rosters
Responsibilities
Manage and negotiate contracts with assigned healthcare providers; support comprehensive reviews and analyses of provider contracts; utilize data and analytics to inform negotiation decisions; monitor assigned networks for compliance and develop corrective action plans; collaborate with provider services teams on education and communication; meet defined metrics and SLAs for provider outreach and contract completion.
Seniority
Associate, individual contributor