Network Contracting Manager

1. About Our Client:

The organization operates in the health insurance sector, focusing on removing financial barriers to healthcare access. It offers an employer-based plan characterized by a single monthly premium with no copays or deductibles. The organization is expanding rapidly, supported by significant funding and a valuation over one billion dollars. It invests in AI-driven services, member engagement, and a network tailored to modern workforce needs.

2. About the Opportunity:

The Network Contracting Manager plays a key role in managing and optimizing provider contracts and relationships. This position supports the organization’s goals by ensuring effective agreements with vendors and providers, improving contracting processes, and serving as a liaison among internal departments. The role is essential for maintaining a strong provider network and advancing the company’s healthcare accessibility mission.

3. Responsibilities:

• Negotiate and maintain agreements with vendors and national providers
• Streamline and automate contracting support processes
• Coordinate training for new hires and staff, sharing best practices
• Guide negotiators to improve contracting performance
• Maintain and update the provider manual quarterly
• Maintain contracting templates according to PADU standards
• Manage provider termination processes
• Organize Joint Operating Committees with key providers
• Serve as the network contact for Legal, Compliance, Care Navigation, Operations, and Member Services
• Review Delegated Credentialing agreements

4. Requirements:

• Bachelor’s degree or equivalent experience with 5+ years in provider contracting and/or health insurance
• Strong problem-solving, decision-making, negotiation, contract language, and financial skills
• Experience in ancillary provider contracting and negotiations
• Experience negotiating delegated credentialing agreements
• Proven ability to develop and manage key provider relationships, including with senior executives
• Demonstrated skill in building and nurturing provider partnerships
• Team-oriented with ability to work effectively in a fast-paced environment
• Customer-focused with strong interpersonal skills
• Ability to work remotely with occasional travel (5-10%)

5. Pay Range and Compensation Package:

• The pay range and compensation package for this role will be determined based on the candidate’s experience, skills, and other relevant factors.

6. Benefits & Perks:

• Health plan with 100% employer-covered medical premiums for employees and 50% coverage for dependents
• $0 copays and $0 deductibles upon completion of baseline visit
• Integrated preventive and primary care
• Mental health support services
• One-on-one care navigation
• Chronic condition management programs
• Maternity and family planning support
• 24/7 telehealth access
• Pharmacy benefits
• Comprehensive dental and vision coverage
• Employer-provided life and disability insurance with supplemental options
• Flexible spending accounts
• Flexible work options including remote and in-person
• Generous paid time off plus 11 paid holidays annually
• 401(k) plan for full-time employees
• Paid parental leave ranging from 8 to 12 weeks based on eligibility

Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.