Senior Manager, Network Contracting – Texas, West Region

This is a fully remote position, open to applicants in Arizona, +2 more states.

📋 Description

• Oversee a team of direct and indirect reports dedicated to negotiating, executing, and analyzing contracts with healthcare providers.

• Enhance and sustain the provider network while achieving accessibility, quality, and financial targets.

• Manage dispute resolution and negotiation settlements.

• Collaborate with providers, hospitals, and health systems to secure successful contracting results.

• Facilitate cost-saving initiatives and promote provider network expansion within a specific market or region.

• Propel contracting strategies that align with network adequacy, development, and cost management goals.

• Lead negotiations for contract settlements.

• Administer and negotiate intricate healthcare provider contracts.

• Oversee, mentor, train, and develop contracting managers, associates, and specialists.

• Review and assess provider contracts to uncover opportunities for improvement and optimization.

• Utilize knowledge of provider financial matters and competitor strategies in contracting decisions.

• Enforce contracting policies, workflows, and streamlined processes.

• Monitor network performance, costs, and provider satisfaction metrics; provide reports to leadership.

• Address provider issues concerning contract terms, reimbursement, and network participation.

• Cultivate and maintain relationships with healthcare providers.

• Ensure adherence to relevant laws and regulations.

• Report directly to the Director of Network Contracting.

⛳️ Requirements

• A minimum of 6 years in healthcare network contracting, which includes executing contracts with health systems, hospitals, or national providers, as well as provider relations or network management.

• At least 4 years of experience managing intricate Provider Network strategies and negotiating complex contracts.

• A minimum of 3 years in a leadership role.

• A minimum of 3 years of experience in the Health Insurance sector (Individual and/or Medicare Advantage) and/or the Healthcare industry.

• Must reside in Arizona, Missouri, or Texas.

• Regular local travel required for client meetings.

• Bachelor's degree or equivalent professional experience (additional points for relevant qualifications).

🏝️ Benefits

• Comprehensive employee benefits.

• Unlimited vacation program.

• Annual performance bonuses.

• Medical, dental, and vision coverage.

• 11 paid holidays.

• Paid sick leave.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life and disability insurance.

• Paid wellness time and reimbursement options.

• Reasonable accommodations available during the application process.