Senior Provider Contracting Negotiator

Job Summary

Leading complex provider contracting initiatives, the full-time Senior Provider Contracting Negotiator will execute multi-year strategies for various health plans, focusing on high-stakes negotiations and advising executive leadership in a remote environment.

Key responsibilities

• Lead high-value provider contracting initiatives across Medicaid, Medicare Advantage, and Commercial lines of business
• Develop and execute multi-year contracting strategies for hospitals and large physician organizations
• Perform advanced financial modeling and mentor contracting staff while advising on network strategy

Required qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field, or equivalent experience
• Four years of progressive provider contracting experience in a managed care environment
• Experience negotiating complex agreements with hospitals and health systems
• Familiarity with Medicaid, Medicare Advantage, and Commercial product lines
• Extensive experience in designing and managing value-based payment models