Senior Contract Manager (Healthcare Provider Contracts)

Texicare; Texas; Hybrid; USD 110.000 - 140.000; Vollzeit

Benefits dieser Stelle

Day one health insurance, Rx, vision,

Dental insurance

401k match up to 6%

Flexible spending account

Zusammenfassung

Texicare, headquartered in Austin, Texas, seeks a Senior Contract Manager to lead negotiation and management of healthcare provider contracts, building a high-quality network across physician groups and ancillary services. You will coordinate with internal teams to ensure seamless contract implementation and ongoing performance.

The role requires deep knowledge of managed care contracting, strong negotiation skills, and the ability to navigate evolving market dynamics.

Qualifikationen

• Bachelor’s degree or equivalent.
• 4+ years in commercial managed care contracting and negotiation.
• Experience developing and nurturing provider relationships.
• Knowledge of reimbursement methodologies and provider business models.
• Collaborative, customer-centric and adaptable in a fast-paced setting.

Aufgaben

• Develop, negotiate, and maintain provider contracts aligned with policies and financial guidelines.
• Manage provider relationships and resolve service issues.
• Coordinate with Legal, Operations, Medical Management to implement contracts.
• Analyze financial and utilization data to assess contract performance.
• Ensure timely contract submissions, amendments, and renewals.
• Maintain knowledge of plans, policies, and market trends to guide contracting.
• Support corporate initiatives with timely, cost-effective project execution.

Kenntnisse

Contract negotiation

Provider contract management

Financial acumen

Stakeholder management

Microsoft Office

Ausbildung

Bachelor’s degree (or equivalent)

Tools

Microsoft Office suite

Jobbeschreibung

Senior Contract Manager (Healthcare Provider Contracts)

About Texicare

Founded in 2023 as a mission-driven health affiliate of Texas Mutual, Texicare was created by a group of seasoned healthcare professionals, and is headquartered in Austin, Texas.

Texicare is committed to changing the healthcare landscape by providing small businesses with innovative solutions that increase access to easy-to-use, more affordable, quality health care for Texans and their families. Texicare’s vision is to transform the healthcare ecosystem for the better, helping to create a healthier and happier Texas. Our healthcare plans were designed to be used, to remove barriers to care, to truly make a difference in people’s lives.

We’re looking for passionate, mission-driven individuals to join us in creating a healthier and happier Texas.

Position Summary

We are looking for a Contract Manager to join Texicare. In this role, you will be responsible for negotiating and managing commercial agreements with healthcare providers—including physician groups, and ancillary services—to build and maintain a high-quality, cost-effective, and competitive network. This role ensures seamless implementation of new and renewed contracts through effective coordination with internal teams. The Contract Manager also handles contract amendments and renegotiations in response to changing organizational needs and may lead related initiatives and projects to support overall business objectives.

Essential Job Functions

In this role, you will:

• Develop, negotiate, and maintain provider contracts in alignment with organizational policies and financial guidelines.
• Manage provider relationships, ensuring contract terms are met and resolving service issues.
• Coordinate with internal teams (e.g., Legal, Operations, Medical Management) to support contract implementation and network integrity.
• Analyze financial, operational, and utilization data to assess contract performance and support strategic decisions.
• Ensure accurate and timely contract submissions, amendments, and renewals.
• Maintain comprehensive knowledge of plan products, policies, and market trends to guide provider engagement and contracting strategies.
• Support corporate initiatives, ensuring timely and cost-effective execution of projects and goals.

To be successful in this role, you must have:

• A bachelor’s degree or any equivalent combination of education, training, and experience.
• At least 4 years of experience in commercial managed care contracting and negotiating experience or any equivalent combination of education, training, and experience.
• Experience in developing, managing and nurturing key provider relationships.
• Knowledge of various reimbursement methodologies, including incentive-based models preferred.
• An understanding and experience with managed care, and provider business models in the commercial healthcare space.
• A collaborative approach with proven ability to develop strong working relationships within a fast-paced organization.
• Customer centric and interpersonal skills are required.
• Demonstrates an ability to maneuver effectively in a changing environment.
• Adept in Practiced problem solving, decision‑making, negotiating, contract language and financial acumen.
• Knowledge of Microsoft Office tools

It would be great if you have:

• Public speaking and presentation skills to present terms and value propositions to physician groups and leadership
• Basic financial modeling to understand how rate changes impact medical cost and network competitiveness
• Contract language experience with reviewing redlines, understanding contract clauses at an intermediate level.
• Automatic 4% employer contribution to retirement plan
• 401k plan with 100% match up to 6%
• Flexible time off for vacation, illness, etc.
• Nine paid holidays
• Day one health, Rx, vision, and dental insurance
• Life and disability insurance
• Flexible spending account
• Pet coverage and pet Rx discounts
• Free identity theft protection
• Free 2nd medical opinion service

Location

Texicare offers a flex-hybrid environment centered around collaboration and connection. All employees must reside in Texas. Team members living in the Austin area are expected to work from our office at least two days per week. Those based outside the greater Austin area may work remotely within Texas, with occasional travel to Austin as needed.

Texicare is an equal opportunity employer.