Senior Manager, Network Contracting Manager
Core
Negotiating, executing, and analyzing contracts with hospitals, physician groups, and facilities to build and manage provider networks while meeting cost and quality goals.
Role type
Senior Manager, Network Contracting
Builds
Provider networks for commercial and individual exchange plans
Domain
Healthcare / Health Insurance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
contract negotiation, rate proposal analysis, financial metrics analysis, provider recruitment, reimbursement modeling, regulatory compliance, cost arrangement management, network strategy, claims escalation resolution, data accuracy management
Preferred skills
commercial exchange experience, Medicare experience, hospital system contracting, advanced Excel (pivot tables, v-lookup)
Technologies
Excel
Responsibilities
Lead end-to-end contract negotiations and execution; manage contract performance and value-based arrangements; recruit and onboard providers to meet network targets; partner on provider compensation and pricing strategy; analyze financial data for cost savings; represent the organization with stakeholders; evaluate network strategy alignment; resolve complex claims and contract escalations.
Seniority
Senior Manager, hands-on IC