Source Job

• 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.

• 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.

• Serve as primary relationship lead for assigned health plan partners
• Own internal revenue and performance targets tied to your payer markets
• Analyze operational and program data to identify risks and growth opportunities

Mae is a venture-backed digital health solution on a mission to improve the health and quality of life for mothers, babies, and those who love them. Mae has created a space where complete digital care meets culturally-competent on-the-ground support.

• Lead health plan partnerships across Medicaid and related lines of business.
• Serve as the senior relationship owner for a portfolio of managed care health plan partners.
• Identify performance risks early and lead cross-functional action plans to improve outcomes.

Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. Founded in 2021, the company is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.

• Lead payor contract implementations, requiring both internal and external cross-functional stakeholder management
• Drive revenue cycle issue resolutions (claims processing, credentialing), which includes coordination with payors and internal operations teams
• Spearhead cross-functional strategic initiatives that have an impact on revenue (implementation of new product/service lines, as an example)

Ophelia is a venture-backed healthcare startup that provides medication and clinical care through a telehealth platform to help individuals with OUD (opioid use disorder). They are a team of physicians, scientists, entrepreneurs, researchers and White House advisors working to re-imagine and re-build OUD treatment in America.

• 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.

• The Hospital Contract Definition Analyst plays a critical role in the implementation and maintenance of hospital payer contracts within Experian Health's Contract Manager system.
• You will ensure accurate modeling of reimbursement methodologies to support valuation of hospital claims and patient estimates and collaborate with senior team members to process new client implementations.
• Independently manages routine maintenance cases, ensuring compliance with enterprise standards and client expectations.

Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries where their corporate headquarters are in Dublin, Ireland.

• Lead new provider contracting efforts.
• Own the renewal process for existing agreements.
• Manage fee schedule development, updates, and maintenance.

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. They have raised more than $425 million in funding from top healthcare and technology investors and have an award-winning culture working towards an important mission.

• Manage a significant region of the US and generate payor leads.
• Build and maintain relationships with key decision-makers in payors.
• Develop strategic account plans that identify growth opportunities.

Evermore is a technology company that administers Smart Benefits to connect people to products and services they need, when they need them, so they can live healthier lives. Evermore is a Series B stage company, backed by leading investors.

• Builds and executes a territory plan for regional health plans.
• Prospects and qualifies using multichannel outreach to create a high-quality pipeline.
• Leads complex sales cycles end-to-end, delivering accurate forecasts and maintaining metrics.

NASCO is focused on reshaping how health plans drive affordability. They are a nimble and collaborative commercial team that values entrepreneurial and data-driven sales professionals.

• Refine and execute a national value-based care contracting strategy.
• Lead and deliver against all payor contracting activities.
• Lead the design and implementation of full-risk payment models.

Atlas Oncology is built for oncologists by oncologists. They provide practices with the staff, contracts, and toolkit they need to deliver truly whole person care to their cancer patients. They're a high growth startup delivering cancer care with value-based approach.

• Leads development/execution of payer & reimbursement resources, end-to-end payer & channel marketing.
• Develops value proposition resources and key messages aligned with Brand strategy.
• Supports Payer Accounts team in strategic and tactical business planning for payers and hospitals.

Iovance is dedicated to developing and delivering novel cancer immunotherapies. They are an equal-opportunity employer committed to cultivating a diverse and inclusive work environment.

• 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.

• Serve as the subject matter expert in interpreting payer agreements.
• Collaborate with the Provider Network Operations team to support the build of standard operating procedures.
• Maintain reconciliation trackers to measure contract performance and support audit requests.

Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. They are the largest network of independent primary care in the country, creating value-based contracts across various health plans.

• Strategically analyze agreement opportunities and lead communication efforts to negotiate agreements with external stakeholders/suppliers.
• Foster and cultivate strong working relationships with department and business unit leadership.
• Collaborate closely with business unit leadership to develop comprehensive RFP and non-RFP project plans.

Allied Solutions provides services for HR, Finance, Legal, Marketing, Facilities, Bond, Product Management and Sales Enablement Operations. The company is committed to career growth opportunities and has been recognized by Forbes as one of America's Best Midsize Employers.

• Analyzes new and revised hospital contracts, determines necessary actions, documents requirements, and establishes customer accounts.
• Effectively communicates with external and internal customers throughout the contract process to ensure timely information reception.
• Identifies opportunities and initiates process improvements, including written documentation in a process manual.

Pediatrix Medical Group is a physician-led organization and one of the nation’s largest providers of prenatal, neonatal, and pediatric services. They are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere.