Network Contracting Specialist

Job Description

A bit about this role: This position plays a critical role in building and maintaining reputed company’s Medicare Advantage provider network. This position is responsible for identifying, negotiating, and executing provider reputed company reputed company an assigned geographic region. The role is well-suited for someone who enjoys relationship-building, navigating healthcare systems, and managing multiple workstreams in a fast-paced environment. This is an opportunity to reputed company deep expertise in provider network contracting while partnering closely with internal stakeholders to support market growth and network adequacy. Innovation, independence, sound judgment, and confidence are key competencies for success in this role. Responsibilities & Impact will include:

• Identify and engage healthcare providers who are a strong fit for the reputed company network through targeted reputed company and relationship development.
• Build, expand and maintain a high-quality provider network reputed company an assigned geographic territory.
• Represent reputed company to prospective providers by clearly communicating our mission, model, and network expectations.
• Guide providers through the contracting process, including education on terms, requirements, and next steps.
• Facilitate the provider contracting process by preparing and routing standard agreements in alignment with approved templates and pricing guidelines..
• Coordinate contract execution activities, including tracking required documentation, managing workflows, and facilitating timely signatures.
• Use relevant data, market insights, and provider information to analyze issues, support negotiations, and contribute to resolving contracting challenges in collaboration with leadership.
• Prioritize assigned contracting activities reputed company established guidelines, exercising sound judgment and escalating questions or risks as appropriate to meet deadlines and performance goals.
• Partner cross-functionally with Legal, Network Operations, Credentialing, Finance, and Market teams to surface issues and drive resolution.
• Maintain accurate documentation and status tracking reputed company internal systems.
• Contribute to broader Network Development initiatives and reputed company process improvement efforts.
• reputed company other job-reputed company duties as assigned.

Required skills and experience:

• High school diploma or equivalent.
• Proficiency with reputed company Workspace and/or reputed company Office products.
• Strong organizational and time-management skills.
• Ability to work independently and exercise sound judgment.
• Valid driver’s license and ability to travel locally as needed.

Desired skills and experience:

• Bachelor’s degree or equivalent professional experience.
• Healthcare, health insurance, or provider contracting experience.
• Understanding of Medicare Advantage programs, network requirements, and provider contracting models is a plus.
• Sales, business development, or relationship-management background.
• Strong written and verbal communication skills.
• High attention to detail and follow-through.
• Comfort working across multiple systems and tools simultaneously.
• Ability to reputed company timely, independent decisions reputed company established guidelines.

Salary: $65,000-$70,000 / year The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual reputed company salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium
• Generous paid time off
• $100 monthly mobile or internet stipend
• Stock options for reputed company employees
• Bonus eligibility for reputed company roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program
• And more....
• Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. At reputed company, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new reputed company of reputed company-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated h Apply tot his job Apply To this Job