Senior Contracting Manager

Senior Provider Contracting Negotiator

A growing healthcare organization is seeking an experienced provider contracting professional to lead complex hospital and health system negotiations. This individual will play a key role in developing and executing provider contracting strategies, managing reimbursement arrangements, and strengthening provider network relationships.

Key Responsibilities

• Lead negotiations for hospital and health system agreements, including reimbursement methodologies, contract terms, renewals, amendments, and value-based arrangements.
• Manage provider relationships and serve as a strategic partner throughout the contracting lifecycle.
• Analyze the financial impact of contract proposals, reimbursement structures, and payment methodologies.
• Evaluate reimbursement models including DRG, case rates, per diem, outpatient fee schedules, and alternative payment arrangements.
• Collaborate with internal stakeholders across finance, medical economics, legal, operations, claims, network management, and configuration teams.
• Communicate contract terms, reimbursement structures, and payment methodologies with provider partners.
• Maintain accurate contract documentation and tracking systems.
• Support network development initiatives through provider recruitment and network adequacy planning.

Qualifications

• Bachelor's degree required.
• 5+ years of experience negotiating hospital and health system contracts within a managed care environment.
• Strong understanding of healthcare reimbursement methodologies and provider contracting principles.
• Experience negotiating agreements involving hospitals, physicians, ancillary, and post-acute providers.
• Ability to analyze, interpret, and communicate the financial implications of contract terms and reimbursement arrangements.
• Strong knowledge of healthcare contract language and contract administration.
• Proficiency with Microsoft Excel, Word, and PowerPoint.

Preferred Experience

• Value-based care and alternative payment models.
• ACO, risk-based, or delegated entity contracting.
• Medicare Advantage provider contracting.

Why Consider This Opportunity? This role offers the opportunity to lead complex, high-impact provider negotiations while partnering with executive leadership and cross-functional teams to expand and strengthen provider networks in a rapidly evolving healthcare environment.