Senior Manager, Network Contracting
Core
Leading a team to negotiate, execute, and analyze contracts with large healthcare providers to maintain and enhance the provider network while meeting accessibility, quality, and financial goals.
Role type
Senior Manager, Network Contracting
Builds
Provider network stability and optimized contracting outcomes for a defined market or region
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, complex contract negotiation, team leadership, provider relations, regulatory compliance, financial analysis, dispute resolution, strategic planning
Preferred skills
Health Insurance (Individual/Medicare Advantage) experience, knowledge of provider financial issues, competitor strategy analysis
Technologies
N/A
Responsibilities
Drive implementation of contracting strategies aligned with network adequacy and cost objectives; Manage and negotiate complex contracts with healthcare providers; Oversee a team of contracting managers and specialists; Conduct comprehensive reviews and analyses of provider contracts; Lead contract settlement negotiations; Monitor and analyze key metrics for network performance and cost
Seniority
Senior, hands-on IC with leadership responsibilities
