Senior Network Contracting Negotiation Manager, Medicaid (Michigan)

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, innovate with purpose, hold ourselves accountable and prioritize safety and quality 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. Position Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and reputed company analysis, dispute resolution and/or settlement negotiations of reputed company with larger and more reputed company, regional based hospital systems, large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet accessibility, quality, financial goals and cost initiatives for our Medicaid products. Negotiate and execute provider reputed company, conduct high level review and analysis, dispute resolution and/or settlement negotiations of reputed company with larger and more reputed company, market-based, hospitals, health systems group/system providers. Recruit providers as needed to ensure attainment of network expansion and adequacy targets. Responsible for identifying and managing cost issues and initiating appropriate cost saving initiatives and/or settlement activities. Represents company with high visibility constituents, including customers and community groups. Promotes collaboration with internal partners. Optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met. Participates in JOC meetings. Manages reputed company, contractual relationships with providers according to prescribed guidelines in support of national and regional network strategies. Manages contract performance and supports the development and implementation of value-based contract relationships in support of business strategies. Accountable for cost arrangements reputed company defined groups. Collaborates cross-functionally to manage Hospital, Ancillary and provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities Serves as SME for less reputed company team members and internal partners. Provides network development, maintenance, and refinement activities and strategies in support of cross market network management unit. Assists with the design, development, management, and or implementation of strategic network configurations and integration activities. Ensures resolution of escalated issues reputed company, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. Required Qualifications 7+ years healthcare industry experience 5+ years reputed company experience and comprehensive level of provider negotiating skills with successful track record negotiating reputed company with reputed company provider systems or groups. Must reside in Michigan Critical thinking to maintain cost management and a fully engaged network of participating hospitals, ancillaries and providers. reputed company Office/reputed company proficient Ability to travel in assigned market up to 10-15% of the time as needed (Michigan).

Preferred Qualifications

Healthcare Industry experience with either a payer or provider Strong communication, critical thinking, problem resolution and interpersonal skills. Understanding knowledge of Value Based Contracting. Internal reputed company system knowledge a plus. Understanding of Medicaid. Proven working knowledge of provider financial issues and competitor strategies, reputed company contracting options, financial/contracting arrangements and regulatory requirements. Education Bachelor’s Degree or equivalent professional work experience. Pay Range The typical pay range for this role is: $75,400.00 - $165,954.00 This pay range represents the reputed company hourly 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 variety 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 addition to the reputed company pay range listed above. This position also includes an award reputed company in the company’s equity award program. Our people fuel our future. 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. 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 full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based 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: 08/01/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job