Job Description
Were looking for a Provider Contracting Manager to join our team and lead provider network development, negotiation, and contracting with hospitals, physician groups, and ancillary providers. This is a high-impact role where youll shape our provider strategy, build strong relationships, and ensure access to quality, cost-effective care for members.
What youll do:
What youll do:
- Lead contract negotiations with hospitals, physician groups, and ancillary providers
- Develop strategies that strengthen network competitiveness, reduce costs, and improve access
- Negotiate fee-for-service, value-based, and alternative payment arrangements
- Identify network gaps and recruit new providers
- Analyze contract performance and work with finance/actuarial teams on forecasting
- Ensure compliance with state, federal, and accreditation requirements
- Manage and mentor a team of contrac...
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