Director, Provider Contracting- Work from home
Core
Develop and manage network strategies, draft reimbursement contracts, and negotiate agreements for hospitals, ancillary, and professional providers across commercial and government networks.
Role type
Director, Provider Contracting
Builds
Contracted network coverage and provider compensation programs
Domain
Healthcare / Insurance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Contract negotiation, network strategy development, reimbursement policy knowledge, financial analysis, budget management, staff oversight, dispute resolution, relationship management, strategic planning
Preferred skills
Hospital contracting experience, experience with large integrated health care delivery systems
Technologies
None stated
Responsibilities
Develop and manage contracting strategies for commercial and government networks; negotiate reimbursement contracts for hospitals and physician groups; oversee staff managing contracting operations; analyze provider compensation programs and report outcomes; resolve contractual disputes; ensure network adequacy; manage budgets and operational reporting.
Seniority
Director, management level
