Associate, Network Contracting (Central Region)
Core
Negotiating and managing contracts with healthcare providers to build and maintain a robust network while optimizing costs and ensuring access to quality care.
Role type
Mid-level healthcare network contracting specialist
Builds
Provider network contracts and strategies
Domain
Health insurance / Healthcare contracting
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare provider contracting, contract negotiation, financial analysis, data set organization, regulatory compliance, network strategy development, provider relationship management, cost optimization, corrective action planning, cross-functional collaboration
Preferred skills
Associate's degree or equivalent professional experience
Technologies
Claim files, provider rosters
Responsibilities
Negotiate and manage contracts with assigned healthcare providers; implement contracting strategies aligned with network adequacy and cost objectives; support network growth and recruiting efforts; analyze provider performance and competitor strategies; mentor junior team members; monitor network compliance and develop corrective action plans.
Seniority
Mid-level, hands-on IC