Provider Contract Negotiator
Core
Negotiating, administering, and maintaining contracts and relationships with Primary Care Physicians, specialists, ancillary providers, and hospitals to ensure a high-quality, cost-effective, and compliant provider network.
Role type
Provider Contract Negotiator
Builds
Managed care provider networks
Domain
Healthcare / Managed Care
Required skills
contract negotiation, contract interpretation, client relations, regulatory compliance, provider network management, contract lifecycle management, provider reimbursement methodologies, healthcare regulatory requirements
Preferred skills
Managed Care setting experience, physician group experience, clinical-based organization experience, hospital/facility setting experience, Medicaid/Medicare Advantage/Commercial network experience, contract lifecycle management systems experience, provider databases experience, provider reimbursement methodologies experience, healthcare regulatory requirements experience
Responsibilities
identifying and onboarding new providers, ensuring regulatory compliance, fostering strong partnerships with existing partners, tracking progress, enhancing brand visibility, supporting efforts to secure new contracts
Seniority
Mid-level, 2+ years experience