Senior Contract Manager
Core
Subject matter expert supporting contracting initiatives and data audits to enhance provider networks while meeting accessibility, compliance, quality, and financial goals.
Role type
Senior individual contributor contract manager
Builds
Provider networks and contract portfolios
Domain
Healthcare / Health Insurance
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Contract negotiation, dispute resolution, provider recruitment, cost management, regulatory interpretation, cross-functional collaboration, data analysis, reimbursement modeling
Preferred skills
Microsoft Office Suite proficiency
Technologies
Provider contracting systems
Responsibilities
Negotiate, execute, review, and analyze contracts with solo, small group, or local providers; manage provider compensation and pricing development; identify and manage cost issues to execute cost-saving initiatives; manage contract performance to support network quality and financial goals; recruit providers to ensure network expansion targets; resolve escalated issues related to claims payment and contract interpretation; interpret contractual requirements including federal, state regulations, and NCQA.
Seniority
Senior, hands-on IC
