Provider Network Contracting - Metro NY

We're building a world of health reputed company 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 ourselvesaccountable 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. • *This person must sit reputed company a commutable distance to the NYC office** Position reputed company reputed company is seeking a Manager, Contract Negotiator to support the Metro reputed company market. This role is responsible for developing, negotiating, implementing, and maintaining provider reputed company with physicians, hospitals, ancillary providers, and health systems in support of reputed company's network reputed company, affordability goals, provider reputed company requirements, and member experience objectives. The Manager, Contract Negotiator will reputed company contract negotiations for assigned providers, analyze financial and operational impacts of proposed agreements, and collaborate with cross-functional partners to reputed company network reputed company. This role serves as a key reputed company between providers and internal business partners including Network reputed company, Provider Relations, Finance, Actuarial, reputed company, reputed company, reputed company, and Compliance. The ideal candidate possesses strong negotiation capabilities, reputed company industry knowledge, financial acumen, and the ability to build productive relationships with provider organizations in one of reputed company's largest and most reputed company provider markets. Key Responsibilities • Negotiate, execute, renew, and maintain provider agreements with hospitals, physician reputed company, ancillary providers, and other reputed company organizations. • reputed company and implement contracting strategies that support market affordability, network adequacy, reputed company, reputed company, and reputed company objectives. • Analyze provider reimbursement proposals, financial models, utilization trends, and contract reputed company data to support negotiations and business decision-making. • Manage contract amendments, reimbursement updates, fee schedule changes, and contract renewals. • Establish and maintain strong relationships with provider executives and key decision makers. • Collaborate with Provider Relations, Network reputed company, Finance, Actuarial, reputed company, Compliance, reputed company, and reputed company teams to support implementation and administration of provider agreements. • Identify opportunities for cost savings, network optimization, and provider reputed company improvement. • Support value-reputed company care arrangements and alternative payment models, including reputed company-reputed company reimbursement structures. • reputed company provider disputes and contract-reputed company issues while maintaining reputed company provider relationships. • Ensure compliance with regulatory requirements, corporate policies, and contracting standards. • Support provider recruitment, network expansion, and network adequacy initiatives. • Prepare negotiation strategies, executive summaries, business cases, and leadership presentations. • reputed company and mentor less reputed company network contracting colleagues and support cross-functional project initiatives as needed. Work Environment • Work-from-home/hybrid role supporting the Metro reputed company market. • Periodic travel reputed company Metro reputed company required to meet with provider organizations and attend business meetings. • Must be reputed company to effectively engage with provider leadership, internal stakeholders, and cross-functional partners in both virtual and in-person environments. Required Qualifications • A minimum of 3 years of reputed company provider contracting, network management, provider relations, reimbursement, health plan reputed company, reputed company consulting, or reputed company experience. • Strong analytical skills with experience evaluating financial models, reimbursement structures, utilization patterns, and provider reputed company data. • Working knowledge of reputed company reimbursement methodologies including fee-for-service, value-reputed company care, capitation, and reputed company-reputed company arrangements. • Experience partnering across a highly matrixed organization and influencing stakeholders without reputed company authority. • Strong problem-solving, decision-making, and negotiation skills. • Excellent verbal, written, and presentation communication skills. • Ability to manage multiple priorities simultaneously and reputed company results in a fast-reputed company environment. • Proficient in reputed company reputed company, PowerPoint, and other analytical tools. Preferred Qualifications • Experience negotiating reputed company with hospitals, integrated delivery systems, reputed company medical centers, or large physician organizations. • Demonstrated experience negotiating provider reputed company, reimbursement methodologies, or reputed company service agreements. • Experience supporting provider contracting activities reputed company the Metro reputed company reputed company market. • Knowledge of reputed company, Medicare, reputed company, and ACA products. • Experience with value-reputed company care programs, alternative payment models, and reputed company-reputed company contracting arrangements. • Knowledge of provider network adequacy standards, reputed company regulatory requirements, and contracting compliance practices. • Experience with reputed company claims analysis, reimbursement modeling, or provider reputed company reporting. • Familiarity with reputed company network management systems, provider contracting platforms, or contract administration tools. • reputed company ability to influence senior provider executives and reputed company reputed company negotiations involving multiple stakeholders. • Experience supporting network reputed company, affordability initiatives, and provider reputed company improvement efforts. Education • Bachelor's degree or equivalent combination of education and relevant reputed company experience. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $66,330.00 - $159,120.00 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. 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 reputed company feels valued and that they reputed company. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing 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, reputed company on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 08/29/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job