Contract Negotiation Manager - PA, DE, NY, NJ, MD, or Washington, DC
Core
Negotiates, executes, and analyzes complex contract disputes and settlements with large group/system providers to maintain provider networks and meet financial goals.
Role type
Senior Contract Negotiation Manager (Healthcare Network)
Builds
Provider networks for health plans
Domain
Healthcare / Managed Care / Behavioral Health
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Contract negotiation, dispute resolution, network adequacy management, reimbursement modeling, contract auditing, cross-functional collaboration, behavioral health knowledge, data analysis, executive reporting
Preferred skills
Health plan experience, reporting tools for financial analysis, national strategy execution, critical thinking, problem-solving
Technologies
Microsoft Excel, Microsoft PowerPoint, Contract management systems
Responsibilities
Negotiate and execute contracts with complex group/system providers, recruit providers to meet network expansion goals, coordinate contracting activities and documentation, audit and load contracts into management systems, collaborate on provider compensation and pricing development, prepare reports for leadership, resolve complex contract or network issues
Seniority
Senior, hands-on IC