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Role Description

This is a full-time, remote position.

• Join our collaborative network team and help expand and strengthen our provider partnerships.
• Identify and pursue contracting opportunities, engage providers on the value of participation, negotiate competitive terms, and partner internally to ensure accurate implementation and ongoing support of contracted providers.
• Identify and research potential contracting targets based on network needs and utilization, including market dynamics and provider landscape.
• Conduct outreach to providers and present network participation opportunities for workers' compensation and auto.
• Lead contract negotiations, including negotiating rates in both fee schedule and non-fee schedule environments.
• Prepare and manage contract packages, including rate schedules and required documentation.
• Draft, review, and redline contract language, partnering with internal stakeholders to evaluate and approve proposed changes.
• Use tools such as Microsoft Word (track changes/comments) and DocuSign to create, route, and execute agreements.
• Coordinate implementation activities after contract execution to ensure accurate setup and documentation in internal systems.
• Support ongoing provider relationships, including renegotiations and issue resolution related to credentialing or delegated credentialing.
• Maintain organized records and analyze contracting data using advanced Excel skills (e.g., sorting, pivot tables, VLOOKUP) to inform negotiations and track progress.
• Manage your workload independently, prioritizing targets and driving work forward with limited oversight while collaborating closely with cross-functional partners.

Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, or a related field, or an equivalent combination of education and relevant work experience.
• 5+ years of healthcare contracting experience, including 3+ years of contract negotiation experience (including fee schedule/rate negotiation). Workers' compensation experience required; auto experience preferred.
• Strong provider outreach, relationship-building, and negotiation skills, with the ability to "sell" the value of network participation.
• Advanced Excel skills (e.g., pivot tables, VLOOKUP; ability to sort and analyze data).
• Experience redlining contracts in Microsoft Word (track changes/comments) and managing documents through DocuSign.
• Strong written communication skills.
• Presentation skills (e.g., PowerPoint).
• Comfortable using AI tools and effective prompting to improve efficiency.
• Ability to work independently in a remote, self-directed environment.

Requirements

• No specific certification or license required.
• Up to 10% travel, on rare occasions (e.g., occasional meetings).
• Must have reliable internet.

Benefits

• Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts.
• Life and AD&D Insurance.
• 401(k).
• Tuition Reimbursement.
• An array of resources that encourage a lifetime of healthier living.
• Compensation depends on the applicable US geographic market, with expected base pay ranging from $80,500 - $124,800 annually.