Remote Senior Hospital Contracting Strategist

CarePlus Health Plans; Alabama; Vor Ort; USD 78.000 - 108.000; Vollzeit

Benefits dieser Stelle

Bonus incentive plan

Zusammenfassung

CarePlus Health Plans is seeking a Senior Hospital Contracting Strategist / Senior Provider Contracting Professional to lead and execute hospital, physician, and other provider contracts. You will report to the Director, Provider Contracting and collaborate with Finance, Legal, Network Management, and Operations to ensure financially sound, compliant agreements.

The role requires extensive managed care and Medicare/Medicaid contracting experience, strong negotiation skills, and the ability to

Qualifikationen

• Bachelor's degree required with 5+ years in hospital negotiation or equivalent.
• Experience in Medicare/Medicaid contracting and value-based arrangements.
• Strong ability to analyze contract terms and communicate financial impact.

Aufgaben

• Lead negotiations for hospital and health system contracts across providers.
• Coordinate with Finance, Legal, Network Management, and Operations.
• Communicate terms and reimbursement structures to providers.

Kenntnisse

Hospital negotiation

Medicare knowledge

Contract negotiation

Network management

Financial analysis

Microsoft Office

Provider communication

Contract language understanding

Ausbildung

Bachelor's degree

Master's Degree

Tools

Microsoft Office

Jobbeschreibung

CarePlus Health Plans is seeking a Senior Hospital Contracting Strategist / Senior Provider Contracting Professional to lead and execute hospital, physician, and other provider contracts. You will report to the Director, Provider Contracting and collaborate with Finance, Legal, Network Management, and Operations to ensure financially sound, compliant agreements.

The role requires extensive managed care and Medicare/Medicaid contracting experience, strong negotiation skills, and the ability to