Provider Network Contractor – Medicare & VBHC

Curana Health; Northern (KY); Hybrid; USD 60,000 - 85,000; Full time

Job summary

Curana Health is seeking a Provider Contractor I to build and maintain a Medicare-compliant provider network across assigned geographies, focusing on physicians and ancillary providers in alignment with Curana's value-based care strategy.

You will recruit, contract, and support providers, communicate terms and reimbursement rates, and ensure documentation is up to date while fostering long-term relationships to improve access to care for seniors.

Qualifications

• Bachelor's degree or equivalent combination of education and work experience.
• 2 to 5 years of experience negotiating and servicing managed care contracts with physicians and/or other healthcare providers preferred.
• Experience contracting for Medicare Advantage plans strongly preferred.

Responsibilities

• Recruit, contract, and maintain a Medicare-compliant provider network with a focus on physicians and ancillary healthcare providers within assigned geographies.
• Communicate contract terms, payment structures, and reimbursement rates clearly and accurately to prospective and existing network providers.
• Maintain up-to-date contracts and documentation within the department's tracking system.
• Align contracting activities with departmental and organizational strategy and operating objectives.
• Build and sustain productive, long-term relationships with provider partners.

Skills

Contract negotiation

Provider reimbursement

Managed care

Communication skills

Organizational skills

MS Office

Process improvement

Education

Bachelor's degree or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

Curana Health is seeking a Provider Contractor I to build and maintain a Medicare-compliant provider network across assigned geographies, focusing on physicians and ancillary providers in alignment with Curana's value-based care strategy.

You will recruit, contract, and support providers, communicate terms and reimbursement rates, and ensure documentation is up to date while fostering long-term relationships to improve access to care for seniors.