Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or comparable experience required.
• Three years of progressive experience in provider contracting, network management, or managed care operations required.
• Experience negotiating hospital and professional agreements required.
• Familiarity with Medicaid, Medicare Advantage, and Commercial lines of business is preferred.
• Knowledge in value-based payment models and risk-based contracting is desirable.

Responsibilities

• Lead the negotiation and development of provider, hospital, and ancillary contracts across various healthcare programs.
• Develop and implement contracting strategies that align with financial and regulatory goals.
• Manage and analyze financial and reimbursement aspects of agreements.
• Ensure compliance with CMS and state regulations throughout contract execution.
• Collaborate with different teams to support value-based initiatives and cost management efforts.

Benefits

• Flexibility of remote work within specified states.
• Opportunity to engage in impactful negotiations that shape healthcare delivery.
• Access to a supportive and collaborative cross-functional team environment.
• Possibility for career advancement in a critical area of managed care.