Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field, or equivalent experience.
• At least 3 years of experience in provider contracting, network management, or managed care operations.
• Proven experience in negotiating hospital and/or professional agreements.
• Preferred experience in Medicaid, Medicare Advantage, and Commercial lines of business.
• Familiarity with value-based payment models and risk-based contracting.

Responsibilities

• Negotiate and develop provider, hospital, and ancillary contracts across Medicaid, Medicare Advantage, and Commercial lines.
• Implement and manage contracting strategies aligned with organizational goals.
• Perform financial and reimbursement analyses to support negotiations.
• Ensure compliance with regulatory requirements and standards.
• Collaborate cross-functionally to enhance value-based payment initiatives.

Benefits

• Fully remote work opportunity with selected states for employment.
• Engagement in strategic negotiations impacting healthcare delivery.
• Professional development and growth opportunities in managed care and healthcare contracting.
• A chance to work within a dynamic and diverse team focused on innovation.