Curative
Contract Specialist
Remote with occasional travel (5-10%). Existing relationships with physicians and physician groups in Texas are highly recommended.
Responsibilities
Manage contract negotiations with physicians and physician groups in the assigned area.
Conduct several negotiations simultaneously to meet growth demands.
Proactively build relationships that nurture provider partnerships to support the local market strategy.
Initiate, nurture, and maintain effective channels of communication with matrix partners including Claims, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, and Marketing.
Meet unit cost targets while preserving an adequate network to achieve and maintain a competitive position.
Identify and manage initiatives that improve total medical cost and quality.
Prepare, analyze, review, and project financial impact of high‑spend or increasingly complex provider contracts and alternate contract terms.
Assist in resolving elevated provider service complaints; research problems and negotiate with internal/external partners or customers to resolve complex and/or escalated issues.
Manage key provider relationships and be accountable for critical interface with providers and business staff.
Demonstrate comprehensive knowledge of providers in the assigned geographic area through understanding interrelationships as well as the competitive landscape.
Partner with Regulatory Affairs to ensure all network filings are timely and accurate.
Perform other duties as assigned.
Qualifications
Bachelor’s degree or equivalent experience in a related field, plus 3+ years of work experience within provider contracting and/or health insurance.
Experience with physician and physician group contracting and negotiations.
Experience negotiating delegated credentialing agreements.
Experience in developing and managing key provider relationships, including senior executives.
Demonstrated experience in seeking out, building, and nurturing strong external relationships with provider partners.
Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models.
Team player with proven ability to develop strong working relationships within a fast‑paced organization.
The ability to influence both sales and provider audiences through strong written and verbal communication skills; experience with formal presentations.
Customer‑centric and interpersonal skills are required.
Superior problem‑solving, decision‑making, negotiating skills, contract, language, and financial acumen.
Remote with occasional travel (5‑10%).
Existing relationships with physicians and physician groups in Texas are highly recommended.
Seniority Level
Mid‑Senior level
Employment Type
Contract
Job Function
Legal
Hospitals and Health Care
#J-18808-Ljbffr
Responsibilities
Manage contract negotiations with physicians and physician groups in the assigned area.
Conduct several negotiations simultaneously to meet growth demands.
Proactively build relationships that nurture provider partnerships to support the local market strategy.
Initiate, nurture, and maintain effective channels of communication with matrix partners including Claims, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, and Marketing.
Meet unit cost targets while preserving an adequate network to achieve and maintain a competitive position.
Identify and manage initiatives that improve total medical cost and quality.
Prepare, analyze, review, and project financial impact of high‑spend or increasingly complex provider contracts and alternate contract terms.
Assist in resolving elevated provider service complaints; research problems and negotiate with internal/external partners or customers to resolve complex and/or escalated issues.
Manage key provider relationships and be accountable for critical interface with providers and business staff.
Demonstrate comprehensive knowledge of providers in the assigned geographic area through understanding interrelationships as well as the competitive landscape.
Partner with Regulatory Affairs to ensure all network filings are timely and accurate.
Perform other duties as assigned.
Qualifications
Bachelor’s degree or equivalent experience in a related field, plus 3+ years of work experience within provider contracting and/or health insurance.
Experience with physician and physician group contracting and negotiations.
Experience negotiating delegated credentialing agreements.
Experience in developing and managing key provider relationships, including senior executives.
Demonstrated experience in seeking out, building, and nurturing strong external relationships with provider partners.
Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models.
Team player with proven ability to develop strong working relationships within a fast‑paced organization.
The ability to influence both sales and provider audiences through strong written and verbal communication skills; experience with formal presentations.
Customer‑centric and interpersonal skills are required.
Superior problem‑solving, decision‑making, negotiating skills, contract, language, and financial acumen.
Remote with occasional travel (5‑10%).
Existing relationships with physicians and physician groups in Texas are highly recommended.
Seniority Level
Mid‑Senior level
Employment Type
Contract
Job Function
Legal
Hospitals and Health Care
#J-18808-Ljbffr