Washington Network Contract Manager

Job Summary

Guiding the development of provider networks, the full-time salaried Washington Network Contract Manager will manage unit cost budgets, evaluate contracts, and support ancillary providers while working remotely within the Pacific Time Zone.

Key responsibilities:

• Manage unit cost budgets, target setting, performance reporting, and financial models
• Guide the development of competitive and stable provider networks to achieve unit cost performance objectives
• Evaluate and negotiate contracts in compliance with company standards and guidelines

Required qualifications:

• 4+ years of experience in a network management-related role, such as contracting or provider services
• 3+ years of experience in fee schedule development using actuarial models
• 3+ years of experience using financial models and analysis to negotiate rates with providers
• 3+ years of experience in performing network adequacy analysis
• In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)