Contracting and Network Program Manager

The University of Vermont Health Network; Burlington (VT); On-site; USD 90,000 - 150,000; Full time

Job summary

The University of Vermont Health Network is seeking a contracts leadership professional to manage the payer contracting lifecycle from strategy through implementation. You will lead negotiations, draft language with legal, and analyze reimbursement methodologies to drive network optimization.

You will collaborate with payers, operational leaders, finance, legal counsel, and provider groups to ensure contracts support organizational goals and renewal processes are maintained.

Qualifications

• Bachelor's degree required.
• 5-8 years healthcare contracting experience.
• Knowledge of hospital and physician reimbursement methodologies.
• Experience negotiating managed care agreements.
• Strong analytical and project management skills.

Responsibilities

• Lead payer contract negotiations and amendments.
• Draft and review contract language with legal counsel.
• Maintain contract inventory and renewal schedules.
• Ensure implementation of negotiated terms.
• Evaluate reimbursement methodologies and fee schedules.
• Model financial impact of proposed contract changes.
• Support development of negotiation strategies based on utilization and payment trends.
• Analyze network participation opportunities.
• Support provider network adequacy discussions.
• Manage payer directory and network-related issues.
• Lead contract interpretation discussions.
• Resolve reimbursement disputes and operational contract issues.
• Advocate for organizational interests in payer policy discussions.

Skills

Negotiation

Contract management

Financial analysis

Healthcare reimbursement

Stakeholder management

Project management

Analytical thinking

Education

Bachelor's degree

Job description

Responsible for management of the contracting lifecycle from strategy through implementation. Leads negotiations, contract drafting, reimbursement analysis, and network optimization activities for assigned payer relationships.

Works collaboratively with payers, operational leaders, finance, legal counsel, and provider groups to ensure contracts support organizational goals.

Reports To: Vice President, Payer Strategy and Contracting

Key Responsibilities

Contract Lifecycle Management

• Negotiate and manage payer agreements and amendments.
• Draft and review contract language in collaboration with legal counsel.
• Maintain contract inventory and renewal schedules.
• Ensure implementation of negotiated terms.

Financial Analysis

• Evaluate reimbursement methodologies and fee schedules.
• Model financial impact of proposed contract changes.
• Support development of negotiation strategies based on utilization and payment trends.

Network Strategy

• Analyze network participation opportunities.
• Support provider network adequacy discussions.
• Manage payer directory and network-related issues.

Issue Resolution

• Lead contract interpretation discussions.
• Resolve reimbursement disputes and operational contract issues.
• Advocate for organizational interests in payer policy discussions.

Qualifications

• Bachelor's degree required.
• 5-8 years healthcare contracting experience.
• Knowledge of hospital and physician reimbursement methodologies.
• Experience negotiating managed care agreements.
• Strong analytical and project management skills.