Senior Network Contracting Negotiation Manager (Michigan)
Core
Negotiate complex contracts with healthcare providers to establish reimbursement rates, service agreements, and performance metrics while managing network adequacy and cost.
Role type
Senior Network Contracting Negotiation Manager
Builds
Provider networks including hospitals, physicians, specialists, and ancillary services
Domain
Healthcare / Health Insurance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Provider negotiation, contract management, market analysis, financial forecasting, regulatory compliance, network expansion, cost management, stakeholder alignment, strategic planning, data analysis
Preferred skills
Contract management systems, local healthcare market knowledge, payer dynamics understanding, complex issue troubleshooting, data-driven execution
Technologies
Microsoft Office/Excel
Responsibilities
Negotiate complex Network contracts with healthcare providers, establish reimbursement rates and service agreements, advise on provider performance and network adequacy, implement improvement initiatives for regulatory compliance, develop and expand the network with new providers, conduct market analysis and competitive positioning, interface with finance teams on budgeting and forecasting, consult with internal teams to align network goals, provide recommendations to senior leadership
Seniority
Senior, hands-on IC