Responsible for developing provider networks, the full-time Senior Contracting Specialist will negotiate complex contracts, manage recruitment efforts for network adequacy, and collaborate with finance and analytics teams to optimize reimbursement strategies while working remotely. Key responsibilities Negotiate complex managed care contracts, including value-based and risk agreements, to secure optimal reimbursement Lead the implementation process for contracts, ensuring compliance and operational effectiveness within provider maintenance systems Analyze network adequacy and determine recruitment needs to meet accreditation standards and strategic initiatives Required qualifications Bachelor's degree in business management, healthcare administration, or a related discipline; Master's degree preferred Minimum of five years of experience in contracting or network development within healthcare or insurance settings Experience in provider contracting and negotiating complex fee schedules Knowledge of managed care concepts and billing information systems Preferred experience in value-based, gain share, or risk contracting
Senior Contracting Specialist in workfromhome at Unknown Company
This position is listed as contract and able to be worked remotely.