Provider Contracting Advisor

Job Summary

Managing complex contract negotiations and provider relationships, the full-time Provider Contracting Advisor will work remotely to support commercial contracting activities and develop value-based business opportunities within the Alabama territory.

Key responsibilities

• Oversees complex contracting and negotiations for fee-for-service and value-based reimbursements
• Builds and nurtures provider partnerships while contributing to network analytics and alternative network initiatives
• Prepares and analyzes financial impacts of provider contracts and resolves escalated provider service complaints

Required qualifications

• Bachelor's Degree in Finance, Economics, Healthcare, or Business preferred; MBA or MHA is a plus
• 3+ years of experience in Managed Care contracting and negotiations
• Knowledge of complex reimbursement methodologies and incentive-based models
• Demonstrated experience in developing and managing key provider relationships
• Strong problem-solving, decision-making, and financial acumen skills