Senior Network Development Contractor

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

📋 Description

• Recruit, assess, contract with, and sustain relationships with physicians, hospitals, ancillary, and other providers within designated regions.

• Ensure network adequacy while facilitating strategic growth into new counties and markets.

• Investigate potential providers, perform due diligence, and prioritize outreach efforts based on network requirements.

• Establish provider relationships through cold calling, email communication, and consultative discussions.

• Initiate, negotiate, and finalize managed care contracts, including agreements with intricate providers and large medical groups.

• Clarify contract terms, payment structures, and reimbursement rates to providers.

• Evaluate the financial implications of proposed contract terms.

• Maintain precise contracts, outreach activities, and supporting documentation within tracking systems.

• Exercise sound judgment in ambiguous circumstances while ensuring alignment with departmental strategies and organizational goals.

• Handle multiple priorities in a dynamic remote setting.

• Contribute to ongoing process enhancements.

⛳️ Requirements

• Bachelor’s degree in business, healthcare administration, or a related field, or equivalent relevant experience.

• 4–8 years of experience in negotiating and managing managed care contracts with physicians, hospitals, ancillary providers, and/or other healthcare entities.

• Experience in Medicare Advantage contracting.

• Familiarity with Medicare Special Needs Plans, including I-SNP and C-SNP, is an advantage.

• Experience in value-based contracting and/or a strong grasp of value-based care principles.

• Proven history of working with complex providers, including large institutional providers, large medical groups, and ancillary organizations.

• Strong capabilities in provider outreach, prospecting, relationship-building, research, and due diligence.

• Confidence in initiating cold calls and email outreach, as well as presenting the value of network participation.

• Ability to comprehend and convey contract terms, reimbursement structures, payment methodologies, and financial impacts.

• Exceptional written and verbal communication, organizational, documentation, and record-keeping skills.

• Capability to work independently, make informed decisions with minimal guidance, and manage multiple priorities.

• Proficiency in Microsoft Word and Excel.

• Must be eligible to work without visa sponsorship; the company cannot offer sponsorship for a visa.

🏝️ Benefits

• Fully remote work setup.

• Flexible working hours based on the candidate's location.

• Opportunity to have a direct impact on access to care.

• Collaborative team environment.

• Diverse assignments with opportunities for initiative and independent decision-making.