Hospital Contracting Account Manager

Metropolitan Jewish Health System; New York (NY); On-site; USD 100,000 - 115,000; Full time

Benefits offered by this job

Tuition Reimbursement

Generous PTO

Medical/Dental/Vision coverage

Retirement plans (403b + Pension)

Flexible spending

PSLF eligible

Job summary

MJHS in New York seeks a Hospital Contracting Account Manager to lead end-to-end negotiations and manage hospital contracts, driving high-quality, cost-effective healthcare outcomes. You will coordinate with Enrollment, Medical Management, Claims, Provider Services, and configuration teams to optimize reimbursement strategies and network performance.

The role emphasizes collaboration, professional growth, and delivering exceptional member experiences within a respected health system.

Qualifications

• Bachelor’s Degree or equivalent.
• Minimum four (4) years of hospital contracting, payer/provider negotiation, or network management experience required.
• Familiarity with Managed Care, NYSDOH State and CMS federal regulations is preferred.
• Demonstrated experience negotiating reimbursement methodologies (e.g., DRG, per diem, case rates, carve-outs) strongly preferred.
• Financial analysis and Excel modeling skills required.
• Strong analytical, written and oral communication and presentation skills, as well as public speaking skills.
• Ability to multi-task, work in a fast-paced environment and with minimal supervision.
• Ability to develop and maintain client relationships.

Responsibilities

• Lead end-to-end negotiation and execution of hospital contracts, including renewals, amendments, and new agreements.
• Develops and manages strategic relationships with hospital managed care leads and key stakeholders.
• Create and maintains positive provider/customer relations and coordinates with various departments to ensure provider issues are handled appropriately.
• Actively participate in cross-functional workgroups to understand and communicate impact of initiatives.
• Performs financial, utilization, and market analyses to support contract negotiations and network planning.
• Supports departmental initiatives including network expansion, regulatory changes, and strategic projects.

Skills

Contract negotiation

Financial analysis

Stakeholder management

Communication

Public speaking

Education

Bachelor's Degree

Tools

Excel

Job description

Overview

The Hospital Contracting Account Manager is responsible for managing strategic relationships with assigned hospital systems to drive high-quality, cost-effective healthcare outcomes. This role oversees hospital network performance, contract optimization, provider engagement, and reimbursement strategies while ensuring network adequacy and operational excellence. The Account Manager serves as the primary liaison between hospital partners and internal stakeholders, leading initiatives related to contracting, claims resolution, quality improvement, and provider performance. Working cross-functionally with teams including Enrollment, Medical Management, Utilization Management, Member Services, Claims, Configuration, Sales, Product, Compliance, and Provider Services, this position helps deliver exceptional member experiences and supports organizational goals for quality, affordability, and network effectiveness.

The MJHS Difference

At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.

Benefits include:

• Tuition Reimbursementfor all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensivemedical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities

• Lead end-to-end negotiation and execution of hospital and hospital-based provider contracts, including renewals, amendments, and new agreements. Drafts contracts, amendments, and other provider communications.
• Develops and manages strategic relationships with hospital managed care leads and key stakeholders, influencing contract outcomes while balancing provider needs with Plan financial and operational priorities.

• Create and maintains positive provider/customer relations and coordinates with various departments (e.g. Clinical, Claims, Provider Services, Configuration) within the company to ensure provider issues, inquiries, and complaints are handled appropriately while balancing provider needs with Plan priorities.

• Actively participate in various cross-functional workgroups to understand and communicate the impact of any initiatives involving network management and hospital providers.

• Performs financial, utilization, and market analyses to support contract negotiations, reimbursement strategy, and network planning for hospitals and hospital-based providers.
• Supports departmental initiatives including network expansion, regulatory changes, and strategic projects.

Qualifications

• Bachelor’s Degree or equivalent.
• Minimum four (4) years of hospital contracting, payer/provider negotiation, or network management experience required.
• Familiarity with Managed Care, NYSDOH State and CMS federal regulations is preferred. Demonstrated experience negotiating reimbursement methodologies (e.g., DRG, per diem, case rates, carve-outs) strongly preferred. Financial analysis and Excel modeling skills required.
• Strong analytical, written and oral communication and presentation skills, as well as public speaking skills.
• Ability to multi-task, work in a fast-paced environment and with minimal supervision.
• Ability to develop and maintain client relationships.

Min

USD $100,000.00/Yr.

Max

USD $115,000.00/Yr.