Initiate, negotiate, and execute contracts with physicians and healthcare providers.
Analyze financial impacts and maintain documentation within a tracking system.
Advise leadership on functional strategies regarding provider contracts.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates and share this shortlist directly with the hiring company.
Oversee provider credentialing, provider licensing, payer contracting, and network expansion.
Lead end-to-end provider credentialing, provider licensing and recredentialing for MDs and NPs.
Manage relationships with credentialing and contracting vendors.
Sunrise Group is building the future of sleep health by combining innovative technology with expert care. They are a fast-growing team across the US and Europe, backed by more than $50M (€46M) from leading investors including Amazon’s Alexa Fund, Eurazeo, Kurma, and VIVES.
Lead negotiations for new and existing payor agreements.
Develop negotiation strategies informed by market dynamics and data analysis.
Collaborate with cross-functional partners to ensure contracts can be operationalized effectively.
SonderMind provides personalized mental health care, encompassing therapy, medication management, and mindfulness exercises. They leverage digital tools and research to deliver high-quality care and develop thriving practices, combining technology and human connection to drive better outcomes.
Lead the design, expansion, and optimization of the organization’s provider network to achieve strategic goals.
Manage the end-to-end network application and contracting lifecycle, including negotiation of terms and contract execution.
Monitor legislative, regulatory, and industry trends to proactively inform and adjust the organization’s network strategy.
Foodsmart is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Through their personalized, digital platform, they guide their 2.2 million members on a tailored journey to eating well while saving time and money. At Foodsmart, their mission is to make nutritious food accessible and affordable for everyone, regardless of economic status. They are committed to measured, impactful, collaborative, hungry and joyful core values.
Managing key partnerships: Building trusted relationships with large payors and complex partners, serving as their go-to contact.
Collaborating on new agreements: Partnering closely with our Sales team to negotiate and launch new contracts—especially Value-Based Care programs.
Tracking and improving results: Keeping a close eye on partner performance metrics and incentive outcomes.
Grow Therapy's mission is to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, they are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Since launching in February 2021, Grow Therapy has empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape.
Responsible for maximizing standardization opportunities and minimizing the need for local agreements.
Works closely with business owners to develop Request for Information (RFI) and Request for Proposal (RFP) documents.
Effectively negotiates with vendors to achieve the needs of UnityPoint Health.
UnityPoint Health is committed to their team members. They are recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row.
Manage end-to-end provider contracting and credentialing processes.
Maintain accurate and up-to-date provider records and documentation.
Assist with billing setup for newly credentialed providers.
Understood Care helps older adults by providing them with Medicare-covered patient advocacy services. They pair each person with a dedicated advocate who helps them navigate care, reduce costs, and make confident healthcare decisions.
Review payer financial reconciliations for accuracy and adherence to agreed-upon methodologies.
Support for the development and deployment of audit procedures applied to payer data sets.
Partner across teams and with payers to resolve data discrepancies.
Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. They are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.