Remote ACO & Provider Contracts Strategist

Jobgether; Virginia; Remote; USD 100.000 - 172.000; Vollzeit

Benefits dieser Stelle

Remote work option in eligible states

Competitive salary and benefits

Paid time off and holidays

Zusammenfassung

Jobgether is seeking a Strategic ACO Contract Manager in the United States to lead complex contract negotiations with hospitals and provider groups. The role drives value-based contracting strategies, financial modeling, and risk-based arrangements across provider networks, ensuring alignment with organizational objectives and ongoing performance monitoring.

Responsibilities include lifecycle management, network development, and cross-functional collaboration to support sustainable partnerships

Qualifikationen

• Education: Bachelor’s degree in a related field or equivalent relevant experience.
• Professional Experience: At least eight years of related work experience beyond the degree, with a strong background in healthcare contracting, provider relations, or health plan operations.
• Contract Negotiation Expertise: Demonstrated success negotiating healthcare service and provider contracts, including experience with value-based methodologies and ACO arrangements.
• Healthcare Industry Knowledge: Experience in health plan operations, provider operations, or related healthcare environments.
• Provider Contracting Knowledge: Strong understanding of provider contracting strategies, risk-based agreements, reimbursement structures, financial models, operational impacts, and data analytics.
• Financial Acumen: Strong financial, analytical, and problem-solving skills, with the ability to evaluate complex financial arrangements and healthcare quality programs.
• Legal and Contractual Understanding: Ability to interpret and assess legal documents, contractual language, and complex agreement structures.
• Relationship Management: Proven ability to build and maintain collaborative external relationships based on trust, credibility, and clear communication at all organizational levels.
• Communication and Presentation: Excellent written, verbal, interpersonal, and presentation skills, including the ability to communicate complex contracting concepts effectively.
• Strategic Thinking: Ability to evaluate multiple scenarios, anticipate challenges, develop creative contracting solutions, and recommend the most effective course of action.
• Adaptability: Flexibility and creativity in developing contracting terms that address changing business needs while supporting sustainable provider partnerships.
• Remote Work Eligibility: Must have a primary home address in one of the following eligible states: Arkansas, Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Kentucky, Michigan, Minnesota, Missouri, North Dakota, Nebraska, Oklahoma, South Dakota, Tennessee, Texas, Virginia, or Wisconsin.
• Work Authorization: Must be legally authorized to work in the United States at the time of application. Visa sponsorship is not available for this position.

Aufgaben

• Contract Negotiation and Development: Negotiate, draft, and evaluate provider contracts, ensuring alignment with financial objectives, standard contract templates, reimbursement guidelines, and established process controls.
• Contract Lifecycle Management: Oversee contracts from initiation and negotiation through execution, monitoring, renewal, amendment, and closure, ensuring critical deadlines and contractual obligations are managed effectively.
• Contract Maintenance: Keep contract language, fee schedules, and reimbursement terms current with applicable medical policy changes and evolving reimbursement structures.
• Provider Relationship Management: Build and maintain trusted relationships with healthcare providers and senior representatives of key contracting organizations.
• Issue Resolution: Address provider concerns, manage contractual disputes, and facilitate effective resolutions that support long-term partnerships.
• Network Performance Evaluation: Assess provider and network performance to identify opportunities for improvement in cost efficiency, quality, stability, and service delivery.
• Network Development and Adequacy: Contribute to provider recruitment, network expansion, network adequacy initiatives, and provider-facing marketing activities.
• Value-Based Contracting: Develop and negotiate innovative contracting arrangements, including ACO and other value-based models, to support quality improvement and financial performance.
• Financial and Strategic Analysis: Evaluate complex financial arrangements, risk-based contracting structures, reimbursement methodologies, and operational implications to identify viable contracting solutions.
• Cross-Functional Collaboration: Work with relevant internal stakeholders to ensure contracts support business priorities, regulatory requirements, and effective provider network operations.
• Additional Responsibilities: Perform other duties as assigned to support network management and contracting objectives.

Kenntnisse

Contract negotiation

Healthcare contracting

Provider relations

Financial analysis

Contract lifecycle management

Relationship management

Strategic thinking

Communication skills

Legal understanding

Ausbildung

Bachelor’s degree or equivalent

Jobbeschreibung

Jobgether is seeking a Strategic ACO Contract Manager in the United States to lead complex contract negotiations with hospitals and provider groups. The role drives value-based contracting strategies, financial modeling, and risk-based arrangements across provider networks, ensuring alignment with organizational objectives and ongoing performance monitoring.

Responsibilities include lifecycle management, network development, and cross-functional collaboration to support sustainable partnerships