Manager, Network Contracting (Northeast Region)
Core
Leading a team to negotiate, execute, and maintain contracts with large national healthcare providers to optimize network accessibility, quality, and financial goals.
Role type
Manager, Healthcare Network Contracting
Builds
Provider network contracts and relationships for a defined market/region
Domain
Health Insurance / Healthcare Provider Relations
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare network contracting, complex contract negotiation, people management, Health Insurance domain knowledge, provider financial analysis, data analytics for contracting, regulatory compliance
Preferred skills
Bachelor's degree
Responsibilities
Implement contracting strategies aligned with network adequacy and cost objectives; Manage contracts and relationships with assigned healthcare providers; Oversee a small team of contracting associates and specialists; Conduct comprehensive reviews and analyses of provider contracts; Utilize data and analytics to inform negotiation decisions; Monitor key metrics for network performance and provider satisfaction; Ensure timely resolution of provider issues regarding contract terms and reimbursement
Seniority
Manager, hands-on leadership
