Remote Network Contracting Leader

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Network Contracting Manager - REMOTE. In this role, you will be instrumental in negotiating and managing hospital and health system agreements that ensure quality and cost-effectiveness in provider networks. By developing written contracts and analyzing reimbursement rates, you will contribute significantly to meeting organizational goals. You will collaborate across departments to innovate and implement value-based contracting approaches while ensuring compliance with regulatory requirements. This position allows for remote work, providing flexibility to perform your duties effectively.

Accountabilities

• Lead negotiations for hospital and health system contracts, aligning with strategic goals.
• Manage negotiation of rates and terms for provider agreements.
• Prepare contracts, amendments, and rate analyses.
• Facilitate accurate provider setup and contract configuration.
• Develop innovative, value-based approaches for contracting.
• Coordinate with internal departments for contract compliance.
• Act as a subject matter expert on various contracts.
• Recruit providers to ensure network adequacy.
• Ensure contracts meet regulatory requirements.
• Maintain relationships with provider executives and internal customers.

Requirements

• Relevant bachelor’s degree with 5-7 years of work experience.
• 3-5 years of contracting experience in a managed care setting.
• Strong knowledge of reimbursement methodologies.
• Experience with Medicare, Medicaid, and value-based reimbursement.
• 5-7 years’ experience in provider recruitment and customer service.
• In-depth knowledge of the managed care industry.
• Excellent communication and organizational skills.
• Strong analytical abilities and attention to detail.
• Advanced proficiency in Microsoft Excel, Word, and PowerPoint.

Benefits

• Flexible remote working arrangement.
• Access to comprehensive health insurance packages.
• Retirement plans and tuition assistance.
• Opportunities for professional development.
• Supportive work environment focusing on collaboration.

Why Apply Through Jobgether?

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

#LI-CL1

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.