Provider Contracting Specialist

Job Summary

Managing complex provider contracts and negotiations, the full-time Provider Contracting Specialist will build relationships with healthcare providers and collaborate with internal teams to support network management and strategic initiatives while working remotely.

Key responsibilities

• Manages complex contracting and negotiations for fee-for-service and value-based reimbursements with hospitals and providers
• Builds and nurtures provider partnerships while identifying broader value-based business opportunities
• Prepares and analyzes financial impacts of contracts and ensures accurate implementation and administration through collaboration with internal partners

Required qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field
• Three to five years of managed care or healthcare reimbursement experience in a health system, consulting firm, or managed care payor
• Strong financial analytics and contracting background with experience in healthcare utilization and operational data analysis
• Demonstrated experience with payment methodologies and network management for various provider types
• At least 2-3 years as a Strategic Reimbursement & Contracting Analyst with prior contract negotiation experience