Contracting Specialist II (652509)

Johns Hopkins Medicine; Hanover (MD); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a leading health plans organization as a Contract Specialist II, where you will develop provider networks and negotiate contracts. This remote role requires strong negotiation skills and experience in healthcare contracting. Enjoy competitive benefits and a commitment to work-life balance.

Benefits

Medical, Dental, and Vision Insurance

403B Savings Plan with employer contribution

Paid Time off & Paid holidays

Employee and Dependent Tuition assistance benefits

Health and wellness programs

Qualifications

• 3-5 years of experience in Contracting/Network Development in healthcare or insurance.
• Familiarity with healthcare contracting terms and reimbursement standards.

Responsibilities

• Develop and maintain contractual relationships with behavioral health providers.
• Manage the post-implementation process of complex contracts.
• Ensure contract compliance by managing pricing and reimbursement updates.

Skills

Negotiation

Analytical Skills

Communication

Education

Bachelor’s degree in business management

Bachelor’s degree in healthcare administration

Job description

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving healthcare delivery and want to be at the forefront of change, JHHP is the place to call home. YOU belong here.

What awaits you:

• Work-life balance - This is a remote role. Applicants living in MD, VA, DC, PA, DE, or FL will be given first consideration. Quarterly travel to the Hanover, MD office may be required.
• Medical, Dental, and Vision Insurance.
• 403B Savings Plan with employer contribution.
• Paid Time off & Paid holidays.
• Employee and Dependent Tuition assistance benefits.
• Health and wellness programs and MORE!

Who you are:

As a Contract Specialist II, your primary responsibilities include developing provider networks through recruitment, negotiating complex contracts, and managing provider relationships. You will review network adequacy, identify recruitment needs, and negotiate within financial parameters to support JHHP’s strategic goals.

What you’ll do:

• Develop and maintain contractual relationships with behavioral health providers including psychiatrists, therapists, residential treatment facilities, and outpatient clinics.
• Lead the implementation process to ensure contracts are loaded into the provider management system, and reporting is operational.
• Manage the post-implementation process of complex contracts, including behavioral health providers.
• Ensure contract compliance by managing pricing and reimbursement updates.
• Serve as the Networks Management representative to address questions related to complex contracts.

What you’ll bring:

• 3-5 years of experience in Contracting/Network Development in healthcare or insurance, with knowledge of reimbursement standards.
• Strong negotiation skills, especially for high-dollar reimbursements, and familiarity with healthcare contracting terms.
• Ability to negotiate provider fee schedules and performance guarantees.
• Experience developing cost-efficient reimbursement standards.
• Knowledge of managed care concepts, MHPAEA, HIPAA, CMS guidelines, and Medicaid requirements.
• Analytical skills to assess claims, utilization trends, and market rates.
• Data-driven approach to developing pricing proposals and evaluating financial impacts.
• Excellent communication skills.

Bachelor’s degree in business management or healthcare administration preferred. Experience with APMs, value-based contracting, and behavioral health payments is highly preferred. Skills in network analysis and strategic expansion are a plus.

Who we are:

Johns Hopkins Health Plans (JHHP) is a $3B managed care organization serving over 500,000 members across Medicaid, Medicare, commercial, military, and other lines of business. We are a leader in provider-sponsored health plans, committed to innovative, analytics-driven health programs that improve quality and outcomes.

Salary Range: $28.47 - $47.00 per hour, commensurate with experience and role scope. Salary discussions will occur during candidate screening if ranges are not specified.

JHHP prioritizes employee health and well-being. Join us to be part of a healthy, inclusive environment where diversity is valued and equity is a core principle.

Johns Hopkins Medicine is an Equal Opportunity / Affirmative Action employer. We are committed to a drug-free workplace and inclusive hiring practices.