Contracting and Network Program Manager

UVM Health - UVM Medical Center; South Burlington (VT); On-site; USD 90,000 - 130,000; Full time

Job summary

UVM Medical Center in South Burlington, VT is seeking a contract strategy professional to lead the end-to-end contracting lifecycle with payers, draft and review terms, and analyze reimbursement impacts.

You will collaborate with legal, finance, operations and provider groups to ensure negotiated terms support organizational goals, maintain renewal schedules, and drive network strategy and 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.

Responsibilities

• 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.
• 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 drafting

Financial analysis

Network strategy

Project management

Analytical skills

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.