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
Senior individual contributor contract negotiation manager
Builds
Provider networks and contractual arrangements
Domain
Healthcare / Contract Management
Required skills
Healthcare industry knowledge, contract management, provider relationship management, dispute resolution, regulatory interpretation, financial analysis, network development, cost management, cross-functional collaboration
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 for network expansion; 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; interpret federal, state, and NCQA regulatory requirements
Seniority
Senior, hands-on IC