Provider Contractor I

Key Responsibilities:

• Recruit, contract, and maintain a Medicare-compliant provider network with a focus on physicians and ancillary healthcare providers.
• Align contracting activities with departmental and organizational strategy and operating objectives to support value-based care.

Qualifications:

• Demonstrated experience in negotiating and servicing managed care contracts with healthcare providers, preferably for Medicare Advantage plans.
• Solid understanding of the financial implications of contract terms, payment structures, and provider reimbursement rates.

Skills and Abilities:

• Excellent written and verbal communication skills to convey complex information clearly to providers.
• Strong organizational skills to manage multiple priorities in a fast-paced environment with a commitment to operational excellence.
• Willingness to travel up to 30% of the time to support network development and relationship building.