Senior Manager, Network Contracting Manager
Core
Senior Manager leading end-to-end contract negotiations, execution, and analysis for hospital, physician groups, and local systems to support commercial and individual exchange networks.
Role type
Senior Manager, Network Contracting
Builds
Provider networks with fee-for-service and value-based agreements
Domain
Healthcare / Health Insurance
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
contract negotiation, rate proposal analysis, provider relationship management, financial metrics analysis, regulatory compliance, reimbursement modeling, network expansion strategy, cost arrangement management, cross-functional collaboration, data analysis
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 implement value-based arrangements; recruit and onboard providers to meet network targets; partner on provider compensation and pricing strategy; analyze financial data for cost-saving opportunities; resolve complex escalations related to claims and contracts; evaluate provider network strategy alignment.
Seniority
Senior Manager, hands-on IC
