Senior ACO Contract Strategist (Remote)

Jobgether

Alton (IL)

Remote

USD 120,000 - 180,000

Full time

6 days ago
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Job summary

Jobgether is seeking a Strategic ACO Contract Manager in the United States for a fully remote role. You will lead complex contract negotiations, manage provider relationships, and oversee the full contract lifecycle across hospitals, physician groups, and other healthcare providers.

The ideal candidate brings eight+ years in healthcare contracting, strong financial modeling skills, and experience with risk-based agreements. Remote work is supported for eligible states with comprehensive benefits.

Qualifications

  • Experience in healthcare contracting and provider operations.
  • Strong understanding of risk-based agreements and reimbursement structures.
  • Excellent analytical and data analysis capabilities.
  • Ability to interpret complex legal documents.

Responsibilities

  • 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: 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.
  • 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.
  • Perform other duties as assigned to support network management and contracting objectives.
  • 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: Experience in health plan operations, provider operations, or related healthcare environments.
  • 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.
  • 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: Work Authorization: Must be legally authorized to work in the United States at the time of application. Healthcare Coverage: Medical, dental, and vision benefits.
  • Retirement Savings: 401(k) contributions.
  • Paid Time Off: Paid time off and company holidays.
  • Remote Flexibility: Remote work arrangement for eligible candidates residing in approved states

Skills

Contract negotiation
Provider relations
Financial analysis
Strategic thinking

Education

Bachelor's degree or higher

Job description

Jobgether is seeking a Strategic ACO Contract Manager in the United States for a fully remote role. You will lead complex contract negotiations, manage provider relationships, and oversee the full contract lifecycle across hospitals, physician groups, and other healthcare providers.

The ideal candidate brings eight+ years in healthcare contracting, strong financial modeling skills, and experience with risk-based agreements. Remote work is supported for eligible states with comprehensive benefits.

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