- Full-time · Senior
- 5+ years
Senior Contracting Specialist to independently manage contract negotiation, analysis, and documentation for an assigned portfolio of provider clients and facilities, serving as a client-facing resource and subject-matter expert within the Payer Strategy & Contracting team.
Compensation
Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies.
Responsibilities
- Conduct contract negotiation discussions on behalf of clients with payers
- Develop negotiation materials including rate benchmarking, reimbursement trend analysis, and financial impact summaries
- Identify rate optimization opportunities within the assigned book of business
- Review and interpret payer contract language across payer, medical group/IPA, and hospital/ancillary contexts
- Apply working knowledge of managed care frameworks, reimbursement methodologies, and applicable healthcare regulations to contract review and negotiation
Requirements
- Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent experience
- Nice to have: Experience on both the payer and provider sides of contracting
- Nice to have: Familiarity with Medicaid, Medicare Advantage, and/or pediatric reimbursement structures
- Nice to have: Experience mentoring or guiding junior contracting staff
- Nice to have: Experience collaborating with offshore or distributed team members