Remote Provider Contracting Director - Network Negotiations

Luminare Health Benefits Inc.; Nashville (TN); Remote; USD 121,000 - 225,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a senior contracting leader to develop and manage network strategies, draft reimbursement contracts, and oversee contracting operations for commercial and government networks.

You will lead a team, ensure network adequacy, monitor provider compensation programs, and travel as needed to support partnerships across regions. The role emphasizes negotiation, collaboration, and compliance with regulatory and corporate policies.

Qualifications

• Bachelor’s degree plus 5 years’ experience in hospital/health care contracting or hospital/physician relations
• 5 years management experience
• Experience with large integrated health care delivery systems and complex reimbursement strategies
• Experience proactively developing and maintaining relationships with health care provider leadership teams
• Knowledge of outpatient and provider reimbursement strategies and policies
• Experience with financial matters such as contract performance and impact including accuracy and sound judgment
• Negotiation skills
• Leadership skills

Responsibilities

• Develop and manage contracting strategies for operations relative to commercial and government networks.
• Accountable for the development, negotiation, and successful completion of reimbursement contracts. Ensure network adequacy for commercial and government networks.
• Develop network, draft reimbursement agreements, and negotiate reimbursement contracts for hospitals, large professional groups with special pricing, and hospital-based physicians, for commercial and government networks.
• Achieve competitive advantage in discounts and access through contract negotiations and effective relationship management.
• Develop strategies, draft agreements, and negotiate contracts for newly recognized categories of providers.
• Oversee the analysis and reporting required to develop reimbursement strategies and take corrective action as needed.

Skills

Negotiation

Leadership

Communication

Travel

Team player

Healthcare contracting

Education

Bachelor’s degree

Job description

Health Care Service Corporation (HCSC) is seeking a senior contracting leader to develop and manage network strategies, draft reimbursement contracts, and oversee contracting operations for commercial and government networks.

You will lead a team, ensure network adequacy, monitor provider compensation programs, and travel as needed to support partnerships across regions. The role emphasizes negotiation, collaboration, and compliance with regulatory and corporate policies.