Provider Network Contracting Senior Manager - Remote

Overview

The Senior Manager negotiates and conducts high-level review and analysis of contracts to enhance provider networks while meeting company standards and financial goals.

In Short

• Negotiate and execute contracts with physician groups and facilities.
• Conduct high-level analysis and dispute resolution.
• Collaborate with Aetna and CVS departments for quality improvement.
• Recruit providers to meet network expansion targets.
• Accountable for cost arrangements within defined groups.
• Manage provider compensation and pricing development.
• Review and analyze reports for negotiation activities.
• Minimum 5 years of related experience required.
• Strong communication and problem resolution skills essential.
• Bachelor’s Degree preferred.

Requirements

• Experience in commercial, individual exchange, and Medicare.
• Contracting experience with hospital systems.
• Advanced Excel skills including pivot tables.
• Strong understanding of provider financial issues.
• Ability to negotiate with complex provider systems.
• Excellent interpersonal skills needed.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with company matching.
• Employee stock purchase plan.
• No-cost wellness programs for all colleagues.
• Flexible work schedules and paid time off.
• Tuition assistance and retiree medical access.