Provider Contract Manager

Responsibilities:

• Serves as principal lead on a defined number of providers for negotiation, strategy, and market intelligence.
• Provides market intelligence to Capital’s leadership and makes recommendations for strategies that appropriately leverage key partnerships.
• Engages with provider partners on financial incentive programs offering additional revenue opportunities.

Skills:

• Demonstrated ability to negotiate contract language provisions typically found in Provider Agreements for Commercial and Medicare Advantage markets.
• Proven and strong negotiation, written, and verbal skills necessary to communicate with varied audiences on subjects ranging from technical to subjective in nature.
• Enhanced ability to develop collaborative relationships through written/verbal communication, both in person and in a virtual environment across the enterprise and with providers.

Experience:

• 8 years related work experience with at least 5 of those years including direct payer/provider negotiation experience with complex, financially significant relationships between payers, health systems, large independent practices, and/or clinically integrated networks.
• 2 years operational experience with value-based programs (ACO, PCMH, and Bundled Payments) preferred.