Provider Contracts & Negotiation Specialist

MCS Puerto Rico; San Juan (PR); On-site; USD 60,000 - 90,000; Full time

Job summary

MCS Puerto Rico is seeking a Contracts Specialist to execute processes for contracting professional service providers and coordinating negotiations. You will perform market analysis to ensure policy and regulatory compliance and manage contract submissions and renewals.

Responsibilities include preparing agreements, gathering market data, obtaining approvals, and maintaining provider relationships across business lines in a Puerto Rico context.

Qualifications

• Bachelor's degree in Health Services Administration, Business Administration or health-related areas.
• At least three (3) years of experience in negotiation strategies, reporting, contracting, or provider services in Healthcare Insurance preferred.

Responsibilities

• Ensures rates in contracts are approved after economic impact analysis.
• Collects market information and historical data to analyze and create provider contracts.
• Submits contracts for management review before provider contact.
• Maintains strong business relationships with providers and ensures understanding of contract terms.
• Sends final contract for provider signature and renewal documentation.
• Follows up on new and renewal contracts with credentialing and System Configuration.
• Ensures terms align with billing guides and reduce manual interventions.
• Coordinates with other departments to resolve high-complexity issues.

Skills

Negotiation

Market analysis

Contract management

Stakeholder communication

Regulatory compliance

Education

Bachelor's degree in Health Services Administration/Business Administration or health-related fields

Job description

MCS Puerto Rico is seeking a Contracts Specialist to execute processes for contracting professional service providers and coordinating negotiations. You will perform market analysis to ensure policy and regulatory compliance and manage contract submissions and renewals.

Responsibilities include preparing agreements, gathering market data, obtaining approvals, and maintaining provider relationships across business lines in a Puerto Rico context.