Provider Network Recruiter – Contracting Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead the strategy for provider contracting, annual plans for network growth, and evaluations of the market.

• Recognize gaps within specialty and geographic networks.

• Direct outreach for recruitment and establish relationships with health systems, groups, and independent providers.

• Negotiate agreements with providers, assess rate structures, and model financial impacts.

• Manage inventories of contracts, approval processes, version control, and ensure documentation is ready for audits.

• Supervise network adequacy, perform access mapping, and create reporting dashboards for leadership.

• Enhance the efficiency of the contracting workflow, decrease cycle times, and boost conversion rates.

• Collaborate with teams in Provider Relations, Credentialing, Provider Data, Finance, and Compliance.

• Recognize and address network risks, access challenges, and potential termination exposure.

• Provide updates, identify risks, and make recommendations to leadership and governance committees.

⛳️ Requirements

• A Bachelor’s degree is required; a Master’s degree is preferred.

• Over 7 years of experience in provider contracting or network management.

• Proven experience in negotiating provider agreements and reimbursement structures.

• In-depth understanding of reimbursement methodologies and financial modeling.

• Experience in leading teams or managing cross-functional workstreams.

• Excellent analytical, communication, and relationship-building abilities.

• Current or prior experience supporting the WTCHP is preferred.

• Experience with value-based contracting is preferred.

• Familiarity with CLM systems and provider data platforms is preferred.

• Background in government or specialized healthcare programs is preferred.

• Lean Six Sigma or PMP certification is preferred.

• US citizenship is not a requirement.

• MBI (T2) public trust clearance is required.

🏝️ Benefits

• Options for medical plans, some including Health Savings Accounts.

• Dental plan options available.

• Vision plan included.

• 401(k) plan with both pre-tax and post-tax contributions, along with company matching.

• Flexible work weeks where feasible.

• Paid time off for vacation, sick leave, personal days, holidays, parental leave, military leave, bereavement leave, and jury duty.

• Typically, 15 days of paid leave each calendar year.

• 10 paid holidays annually.

• Up to 160 hours of paid family leave within a rolling 12-month period for eligible employees.

• Short- and long-term disability benefits provided.

• Life insurance coverage.

• Accidental death and dismemberment insurance included.

• Personal accident insurance offered.

• Critical illness insurance available.

• Business travel and accident insurance provided.