Senior Hospital Contracting Negotiator
Core
Lead negotiations for hospital and health system agreements, including reimbursement, contract terms, amendments, renewals, and value-based agreements for a health insurance organization.
Role type
Senior IC hospital contracting strategist
Builds
Provider network contracts and reimbursement agreements
Domain
Healthcare insurance / Managed care
Required skills
Hospital negotiation, Medicare reimbursement methodologies, financial analysis, provider relationship management, contract language interpretation, network management
Preferred skills
ACO/Risk contracting, Value-based contracting, Master's degree
Technologies
Microsoft Office (Word, Excel, PowerPoint)
Responsibilities
Lead negotiations for hospital and health system agreements; Evaluate reimbursement methodologies (DRG, PD, Case Rates, POC, OP fee schedules); Partner with Finance, Legal, and Network Management to ensure financial soundness; Analyze financial impact of contracts; Maintain contracts in tracking system; Identify and recruit providers based on network needs
Seniority
Senior, hands-on IC
