Provider Contracts & Network Growth Lead

First Managed Care Option, Inc.; New Jersey; On-site; USD 54,000 - 66,000; Full time

Job summary

First Managed Care Option, Inc. in Parsippany, New Jersey, is seeking a Provider Contract Manager to lead provider contract activities, support negotiations, and drive contract implementation.

The role focuses on recruiting network providers, maintaining accurate contract data, coordinating negotiations, and ensuring compliance with healthcare regulations; strong communication and negotiation skills are essential.

Qualifications

• Bachelor's degree preferred in healthcare administration, business, or related field.
• 2–5+ years of experience in provider relations, managed care, healthcare contracting, network development, or provider recruitment preferred.
• Strong negotiation, communication, and relationship-management skills.

Responsibilities

• Manage the provider contract process from outreach through contract execution and implementation.
• Develop and maintain relationships with physicians, medical groups, facilities, and other healthcare providers.
• Recruit new providers to meet network adequacy, access, specialty, and geographic needs.
• Conduct provider outreach and identify opportunities to strengthen network coverage.
• Coordinate contract negotiations, including reimbursement rates, terms, amendments, and renewals.
• Review provider contracts and ensure required documentation is completed accurately and timely.
• Work collaboratively with other internal departments.
• Monitor provider participation and identify gaps or opportunities for network expansion.
• Maintain accurate provider and contract information in internal systems.
• Respond to provider questions regarding contracts, participation, reimbursement, and network requirements.
• Assist with provider onboarding and implementation following contract execution.
• Track contracting and recruitment activity, including pipeline status, executed agreements, and outstanding issues.
• Support provider retention and relationship-management initiatives.
• Ensure contracting activities comply with organizational policies, regulatory requirements, and applicable healthcare regulations.
• Prepare reports and presentations regarding network growth, contracting activity, and provider recruitment.

Skills

Negotiation

Communication

Relationship mgmt

Education

Bachelor's degree in healthcare administration, business, or related field

Job description

First Managed Care Option, Inc. in Parsippany, New Jersey, is seeking a Provider Contract Manager to lead provider contract activities, support negotiations, and drive contract implementation.

The role focuses on recruiting network providers, maintaining accurate contract data, coordinating negotiations, and ensuring compliance with healthcare regulations; strong communication and negotiation skills are essential.