Senior Contracting Manager

Senior Contracting Manager

A growing healthcare organization is seeking an experienced provider contracting professional to lead complex hospital and health system negotiations. This individual will play a key role in developing and executing provider contracting strategies, managing reimbursement arrangements, and strengthening provider network relationships.

Key Responsibilities

• Lead negotiations for hospital and health system agreements, including reimbursement methodologies, contract terms, renewals, amendments, and value-based arrangements.
• Manage provider relationships and serve as a strategic partner throughout the contracting lifecycle.
• Analyze the financial impact of contract proposals, reimbursement structures, and payment methodologies.
• Evaluate reimbursement models including DRG, case rates, per diem, outpatient fee schedules, and alternative payment arrangements.
• Collaborate with internal stakeholders across finance, medical economics, legal, operations, claims, network management, and configuration teams.
• Communicate contract terms, reimbursement structures, and payment methodologies with provider partners.
• Maintain accurate contract documentation and tracking systems.
• Support network development initiatives through provider recruitment and network adequacy planning.

Qualifications

• Bachelor's degree required.

• 5+ years of experience negotiating hospital and health system contracts within a managed care environment.

• Strong understanding of healthcare reimbursement methodologies and provider contracting principles.

• Experience negotiating agreements involving hospitals, physicians, ancillary, and post-acute providers.

• Ability to analyze, interpret, and communicate the financial implications of contract terms and reimbursement arrangements.

• Strong knowledge of healthcare contract language and contract administration.

• Proficiency with Microsoft Excel, Word, and PowerPoint.

• Preferred Experience

• Value-based care and alternative payment models.

• ACO, risk-based, or delegated entity contracting.

• Medicare Advantage provider contracting.

• Why Consider This Opportunity? This role offers the opportunity to lead complex, high-impact provider negotiations while partnering with executive leadership and cross-functional teams to expand and strengthen provider networks in a rapidly evolving healthcare environment.

• Job Alerts

• Get job alerts

• Share

• Copied to clipboard

• Related roles

• Underwriting Specialist

• USA$100,000 - $150,000 USD a year

• Actuarial Analyst /Senior Analyst Health

• USA$70,000 - $125,000 USD a year

• Senior Contracting Manager

• USA$120,000 - $180,000 USD a year

• Producer

• USA$110,000 - $200,000 USD a year

• Program Manager, Transplant Pricing & Reimbursement

• USA£100,000 - £160,000 GBP a year

• Casualty Underwriter

• USA$150,000 - $185,000 USD a year

• Flood Underwriting Manager

• USA$110,000 - $130,000 USD a year

• Director, Product Program Manager

• USA$185,000 - $225,000 USD a year

• Product Analyst

• USA$80,000 - $120,000 USD a year