Manager - Contracting

Astrana-Health-1; San Antonio (TX); Remote; USD 100,000 - 120,000; Full time

Job summary

Astrana-Health-1 is seeking a Manager - Contracting to lead recruitment and negotiation of PCP, specialist, and ancillary provider contracts, ensuring alignment with company and state guidelines while expanding networks and overseeing post-contract intake, including credentialing and loading.

You will manage provider rosters, drive network performance through data, and coordinate with contracting, legal, credentialing, and provider data teams, with remote work and periodic travel to the Houston

Qualifications

• Bachelor’s degree or equivalent in health/admin field.
• 5+ years contracting or provider relations experience.
• Experience with managed care and health programs.
• Leadership experience with cross-functional teams.
• Strong negotiation skills and knowledge of reimbursement models.

Responsibilities

• Lead end-to-end recruitment and negotiation of regional and national providers per guidelines.
• Manage new contracts and amendments with internal teams to ensure loading on time.
• Maintain relationships with high-value providers via provider relations teams.
• Define and monitor network reporting, metrics, and rosters.
• Lead occasional meetings with health plans and executives to review performance.

Skills

Negotiation skills

Project management

Provider relations

Healthcare knowledge

Leadership of cross-functional teams

Education

Bachelor’s degree in Health Administration or related field

Job description

Manager - Contracting

Department: Business Development

Employment Type: Full Time

Location: 2929 Mossrock, Suite 200, San Antonio, TX 78230

Reporting To: Allen Chen

Compensation: $100,000 - $120,000 / year

Description

About the Role

Lead recruitment and negotiation of PCP, specialist, and ancillary provider contracts per company and state guidelines, while building new networks and optimizing existing ones, managing provider rosters and oversee post-contract intake, including credentialing, contracting, and loading.

Our Values

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

What You’ll Do

• Manage end-to-end recruitment and negotiation of regional and/or national providers (PCP, specialists, and ancillary providers) from sourcing through contract execution in accordance with corporate, health plan, and state guidelines for assigned regions.
• Manage net new contracts and amendments to support network operations and provider and member growth, while coordinating with contracting, legal, provider data management, credentialing, and other applicable internal teams to ensure all new contracts and amendments are loaded completely, accurately, and on time.
• Manage relationships with high-value network providers by indirectly supporting their operational, financial, and clinical success through provider relations teams and the market leader.
• Define, launch, and monitor network reporting for assigned functions including network adequacy goals, metrics, and identifying targets for network build-out, management of rosters, and driving provider question and issue resolution.
• Initiate and lead occasional meetings with health plans and corporate teams, including executive management, to review provider performance data, scorecards, and partnership strategy.

Qualifications

• Bachelor’s degree in Health Administration, Business Administration, related field or equivalent experience.
• 5+ years of contracting, contract analysis, provider relations, or provider experience, preferably in a hospital, physician’s office, physician group or ancillary services setting.
• Experience in project management, managed care, State and/or Federal health programs and working knowledge of contracting language and principles of negotiation.
• Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
• Has strong negotiation skills (negotiate favorable terms while balancing implications such as cost, quality, access with a strong understanding of reimbursement models).
• Has healthcare industry knowledge (foundational understanding of provider operations, insurance products, regulations and familiarity with VBC, FFS, capitation, and risk contracting).
• Has experience in contract management and compliance (skilled in drafting, reviewing, and managing terms).

Environmental Job Requirements and Working Conditions

• Our organization follows a remote work structure where the expectation is to work at home on a weekly basis with monthly/quarterly travel to the Houston office based on business needs.
• The total compensation target pay range for this role is $100,000 - $120,000 annually and represents our national target range for this role.