Contract Negotiation Manager
Core
Subject matter expert supporting contracting initiatives, data audits, and provider network management to enhance accessibility, compliance, quality, and financial goals.
Role type
Contract Negotiation Manager (Individual Contributor)
Builds
Provider networks and contract strategies
Domain
Healthcare / Provider Contracting
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare industry knowledge, complex contract management, provider relationship management, dispute resolution, cost analysis, regulatory interpretation (federal/state/NCQA), Microsoft Office Suite
Preferred skills
West Coast residency
Technologies
Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)
Responsibilities
Negotiate and execute contracts with solo, small group, or local providers; manage contract performance for network quality and financial goals; recruit providers to meet network expansion targets; collaborate on provider compensation and pricing development; identify cost issues and support cost-saving initiatives; design and implement strategic network configurations; resolve escalated issues regarding claims payment and contract interpretation.
Seniority
Mid-level, hands-on IC