Associate, Network Contracting (Central Region)

This is a Fully Remote Job

1. About Our Client:

The organization operates in the health insurance industry, focusing on improving healthcare access and quality through technology and member-centered services. Founded in 2012, it aims to transform health insurance by integrating technology platforms to streamline care and support for its members.

2. About the Opportunity:

The Associate, Network Contracting is responsible for negotiating and managing contracts with healthcare providers to build and maintain a strong network in a designated region. This role ensures access to quality care while optimizing costs by analyzing provider performance and reimbursement rates. It supports network growth, provider engagement, and the execution of local network strategies, directly impacting the availability and quality of care for members.

3. Responsibilities:

• Implement contracting strategies aligned with network adequacy and cost management objectives.
• Manage and negotiate contracts with healthcare providers ensuring compliance with organizational and regulatory standards.
• Serve as a subject matter expert and mentor to contracting specialists and analysts.
• Conduct comprehensive reviews and analyses of provider contracts to identify improvement opportunities.
• Utilize data analytics to inform negotiation and contracting decisions.
• Support contracting policy implementation and workflow improvements.
• Meet defined metrics and service level agreements including provider outreach and contract completion.
• Collaborate with provider services for network education and communication.
• Monitor network compliance and develop corrective action plans as needed.
• Ensure compliance with applicable laws and regulations.
• Perform other duties as assigned.

4. Requirements:

• Minimum 3 years of experience in healthcare client management, consulting, contracting, operations, or related fields.
• At least 2 years supporting provider network strategy development and contract negotiation.
• Minimum 1 year conducting financial analyses and working cross-functionally to drive improvements.
• Experience handling large data sets such as claims files and provider rosters.

5. Pay Range and Compensation Package:

• Base pay range: $87,188 to $114,434 per year.
• Eligible for employee benefits, unlimited vacation program, and annual performance bonuses.

6. Benefits & Perks:

• Medical, dental, and vision insurance.
• Paid holidays, sick time, and parental leave.
• 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.

Equal Opportunity Statement:

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:

TalentHop is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company’s career page or ATS.