Associate, Value Based Contracting
Core
Negotiate and execute Value Based Contracts with healthcare providers to optimize network costs, ensure quality care access, and maintain regulatory compliance.
Role type
Mid-level healthcare contracting specialist
Builds
Provider network contracts and cost-saving initiatives
Domain
Health insurance / Healthcare contracting
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
healthcare client management, provider network strategy development, contract negotiation, financial analysis, data set organization, compliance with regulatory guidelines
Preferred skills
Value Based Contracting experience
Responsibilities
Manage and negotiate contracts with assigned healthcare providers; implement Value Based Contracting strategies; 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; facilitate guidance and mentorship of junior team members; collaborate with provider services team on network servicing and education.
Seniority
Mid-level, hands-on IC