Provider Contract Specialist Lead
Core
Lead managed care contracting, analytics, and revenue cycle operations for a healthcare delivery system, designing value-added contracts with payers and providers.
Role type
Senior IC Provider Contract Specialist Lead
Builds
Payer-provider contracts, contract repositories, and strategic contracting frameworks
Domain
Healthcare / Managed Care Contracting
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Managed care contracting, contract negotiation, data analytics, contract lifecycle management, market intelligence gathering, root cause analysis, cross-functional collaboration, regulatory compliance, financial parameter oversight
Preferred skills
Team lead or project management experience, legal staff collaboration, anti-trust law knowledge, advanced contract negotiation tactics
Technologies
Internal contract repository systems, contract database management tools
Responsibilities
Manage contract development and negotiations for delivery system network initiatives; Create contracting strategies to move payers to desired terms; Lead drafting, review, negotiation, and execution of payer contracts; Monitor contract effectiveness and renegotiate as needed; Gather market and competitive intelligence on payers and healthcare policy; Investigate operational or administrative issues by gathering data and reviewing documentation.
Seniority
Senior, hands-on IC with leadership responsibilities
