Senior Network Contract Manager - Remote - WA, OR preference

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The Senior Network Contract Manager is a senior individual contributor and subject-matter expert responsible for developing and executing contracting strategies that support affordability, network adequacy, member access, and regulatory compliance.

This position leads complex negotiations with hospitals, physician groups, Rural Health Clinics, Federally Qualified Health Centers, and ancillary providers. The role is accountable for evaluating contract and market performance, developing reimbursement strategies, managing provider relationships, and advancing agreements from initial strategy through execution and implementation.

The Senior Network Contract Manager also provides leadership through project ownership, cross-functional collaboration, mentoring, review of complex work, and guidance on critical contracting and market issues.

If you reside in Oregon and Washington, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Provider Contracting and Negotiations
  • Lead complex provider contracting and negotiations involving hospitals, physician groups, RHCs, FQHCs, and ancillary providers
  • Negotiate new agreements, renewals, amendments, payment appendices, fee schedules, reimbursement terms, and provider terminations
  • Develop negotiation strategies based on market conditions, financial performance, provider performance, network needs, and business objectives
  • Communicate proposed contractual terms clearly and negotiate mutually acceptable agreements with providers
  • Evaluate continued provider participation based on financial, operational, access, and network considerations
  • Interpret contractual financial and nonfinancial terms, including their operational and legal implications
  • Apply contracting policies, approval requirements, and established standards consistently
  • Ensure agreements are accurately authored, executed, submitted, and configured within required timeframes
• Market Strategy and Network Development
  • Develop and execute market contracting strategies focused on affordability, network adequacy, member access, competitive positioning, and regulatory compliance
  • Assess market rates, billing patterns, referral patterns, provider quality, and operational effectiveness to establish reimbursement and negotiation strategies
  • Identify opportunities to strengthen network performance, provider alignment, and market competitiveness
  • Support network development, site-of-service strategies, product initiatives, and value-based care expansion
  • Translate market trends, provider intelligence, and financial data into actionable contracting strategies
  • Prioritize and execute contracting initiatives based on business impact, market need, and available resources
  • Apply strategic planning and complex problem-solving skills to resolve critical network and contracting issues
• Financial and Reimbursement Analysis
  • Evaluate the financial and operational effects of contractual terms on providers, members, UHN, and customer groups
  • Develop provider rates using applicable financial tools, reports, market data, and reimbursement benchmarks
  • Assess contract performance and identify affordability opportunities, financial risks, and potential corrective actions
  • Partner with Network Pricing to evaluate reimbursement arrangements, including fee-for-service, case rates, sub-capitation, pay-for-performance, and value-based reimbursement methodologies
  • Evaluate proposed contract changes for alignment with affordability goals and broader business objectives
  • Use fact-based analysis and sound business judgment to develop contracting recommendations
• Provider Relationship Management
  • Build and maintain productive relationships with hospital executives, medical group leaders, physicians, and ancillary provider leadership
  • Lead provider discussions involving contract strategy, reimbursement methodologies, performance expectations, an…