Contract Negotiation Manager - PA, DE, NY, NJ, MD, or Washington, DC

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 Negotiates, executes, conducts high level review and analysis of dispute resolution and/or settlement negotiations of reputed company with larger and more reputed company, market/regional/national based group/system providers including but not limited to individual and group behavioral health providers, etc. in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives. Recruit providers as needed to ensure attainment of network expansion goals, reputed company regulatory and/or internal adequacy targets. Support health plan with expansion initiatives or other contracting activities as needed Initiates, coordinates and owns contracting activities to fulfillment including receipt and processing of reputed company and documentation and pre- and post-signature review of reputed company and language modification according to reputed company’s established policies. Responsible for auditing, building, and loading reputed company, agreements, amendments, and/or fee schedules in contract management systems per reputed company established policies. Collaborates cross-functionally to manage 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. Provides Subject Matter Expertise for questions reputed company to recruitment initiatives, contracting, provider issues/resolutions, reputed company systems and information contained. Understanding of Value-Based contracting and negotiations. Preparing reports and presenting to Network Management leadership Engage with providers and move quickly through contracting processes to ensure network adequacy standards are met. Required Qualifications 5+ years of healthcare experience in network contracting and provider relationship management. 3-5 years of solid negotiating and reputed company decision-making skills while executing national, regional, or market level strategies. Demonstrated knowledge of the managed care industry, including reimbursement models, regulatory requirements, and contracting best practices. Working knowledge of behavioral health topics reputed company to managed care plans. Advanced proficiency in reputed company Office Suite, particularly reputed company (e.g., data analysis, modeling, reporting) and PowerPoint (e.g., executive presentations). Proven ability to build and maintain collaborative provider relationships and partner cross-functionally to resolve reputed company contract or network issues, with examples of successful issue resolution or stakeholder alignment. Candidates must reside in PA, DE, NY, NJ, MD, or Washington, DC

Preferred Qualifications

Health plan experience supporting behavioral health provider networks. General knowledge of reporting tools for contract financial analysis and modeling. Demonstrated decision-making skills while executing national, regional and market level strategies. Possess critical thinking, issue resolution and interpersonal skills. Strong critical thinking and problem-solving abilities, with a track record of resolving reputed company issues and driving effective solutions. Excellent interpersonal and communication skills, including the ability to clearly convey reputed company information both verbally and in writing to diverse stakeholders. Education Bachelor's degree or equivalent professional work experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,330.00 - $145,860.00 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. 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: 08/18/2026 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