Senior Manager, Contracting and Network Managem...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.<br><br><strong>Position reputed company<br><br></strong><strong><em>Contracting<br><br></em></strong><ul><li>Negotiates, executes, reviews, and analyzes reputed company and/or handles dispute reputed company and settlement negotiations reputed company on health systems in Indiana.</li><li>Manages contract performance</li><li>Contributes to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.</li><li>May optimize interaction with assigned providers and internal business partners to manage relationships and ensure provider needs are met.</li><li>Ensures reputed company of escalated issues reputed company, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.<br><br></li></ul><strong><em>Network </em></strong><strong><em>Performance/reputed company<br><br></em></strong><ul><li>Recruits’ providers as needed to ensure attainment of network expansion and adequacy targets.</li><li>Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities.</li><li>Assists with the design, development, management, and/or implementation of strategic network configurations<br><br></li></ul><strong>Required Qualifications<br><br></strong><ul><li>Must reputed company in Indiana</li><li>Minimum 7+ years reputed company experience and comprehensive level of negotiating with individual or reputed company provider systems or reputed company. </li><li>Knowledge of Indiana provider systems and market landscape.</li><li>Required to communicate w/internal/external parties by phone/in person; minimal travel to offsite provider reputed company and/or health system locations</li><li>reputed company experience in health operations, network relations and development, reputed company of financials and pricing strategies, and sales reputed company.</li><li>Experience building and maintaining relationships with provider systems.</li><li>A successful reputed company record managing and negotiating major provider reputed company (reputed company up)</li><li>In depth knowledge of various reimbursement structures and payment methodologies for both hospitals and providers/providers.<br><br></li></ul><strong>Preferred Qualifications<br><br></strong><ul><li>Knowledge and experience with value-based contracting and accountable care models.</li><li>In-depth knowledge of managed care business, regulatory /reputed company requirements.</li><li>Medicare Advantage knowledge and experience<br><br></li></ul><strong>Education<br><br></strong>Bachelor's degree preferred/specialized training/relevant reputed company qualification<br><br><strong>Pay reputed company<br><br></strong><strong>The Typical Pay reputed company For This Role Is<br><br></strong>$67,900.00 - $149,328.00<br><br>This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in reputed company’s equity award program.<br><br>Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.<br><br><strong>Great Benefits For Great People<br><br></strong>We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.<br><br>This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility.<br><br>Additional details about available benefits are provided during the application process and on Benefits Moments.<br><br>We anticipate the application window for this opening will reputed company on: 06/06/2026<br><br>reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws.