Senior Contracting & Provider Relations Manager

The Alliance; Fitchburg (MA); On-site; USD 120,000 - 190,000; Full time

Job summary

The Alliance seeks a senior leader for Provider Contracting & Relationship Management in Fitchburg, MA. You will drive complex negotiations with providers, guide contract interpretation, and oversee agreements with advanced value-based payment mechanisms, aligning with organizational strategy and operational goals.

This role emphasizes strategic contracting, market leadership, continuous improvement, and cross-functional collaboration with business development and external partners to strengthen

Responsibilities

• Lead complex negotiations with prospective and existing providers to achieve cost, quality, access, and performance objectives.
• Serve as a senior point of contact for managed providers, guiding contract interpretation, implementation, and ongoing relationship management.
• Oversee execution and maintenance of provider agreements that incorporate advanced value-based payment methodologies, including total cost of care, shared savings, and performance metrics.
• Ensure provider agreements align with organizational strategy, reimbursement intent, and operational execution.
• Define and articulate the strategic importance of managing complexity in provider contracting, reimbursement design, and market decision-making.
• Integrate complex information across the organization to inform high-impact strategic contracting decisions.
• Leverage sophisticated analytical frameworks to interpret multifaceted financial, operational, and performance data.
• Identify systemic issues and strategic opportunities within complex healthcare environments, leading coordinated organizational responses.
• Engage senior leaders and external stakeholders to collaboratively navigate complex challenges and advance strategic initiatives.
• Represent The Alliance in high-stakes provider, employer, and community discussions, offering insights grounded in comprehensive analysis.
• Inspire innovative problem-solving approaches that embrace complexity, uncertainty, and continuous improvement.
• Partner closely with Business Development to align provider contracting strategies with employer value propositions and participate in employer-facing discussions as needed.
• Build and sustain strong relationships with providers, employers, brokers, and community partners to support market credibility and strategic alignment.
• Synthesize market intelligence and performance insights to strengthen The Alliance’s provider value proposition.
• Represent The Alliance in regional healthcare forums, provider meetings, and community events, serving as a trusted senior leader and ambassador.

Job description

How You Will Contribute

Provider Contracting & Relationship Management

• Lead complex negotiations with prospective and existing providers to achieve cost, quality, access, and performance objectives.
• Serve as a senior point of contact for managed providers, guiding contract interpretation, implementation, and ongoing relationship management.
• Oversee execution and maintenance of provider agreements that incorporate advanced value-based payment methodologies, including total cost of care, shared savings, and performance metrics.
• Ensure provider agreements align with organizational strategy, reimbursement intent, and operational execution.

Strategic Contracting, Complexity Management & Market Leadership

• Define and articulate the strategic importance of managing complexity in provider contracting, reimbursement design, and market decision-making.
• Integrate complex information across the organization to inform high-impact strategic contracting decisions.
• Leverage sophisticated analytical frameworks to interpret multifaceted financial, operational, and performance data.
• Identify systemic issues and strategic opportunities within complex healthcare environments, leading coordinated organizational responses.
• Engage senior leaders and external stakeholders to collaboratively navigate complex challenges and advance strategic initiatives.
• Represent The Alliance in high-stakes provider, employer, and community discussions, offering insights grounded in comprehensive analysis.
• Inspire innovative problem-solving approaches that embrace complexity, uncertainty, and continuous improvement.

Nimble Learning, Experimentation & Continuous Improvement

• Apply a structured, disciplined approach to experimentation in contracting strategies, reimbursement models, and provider engagement.
• Use both successes and failures as meaningful data points to refine strategies and improve outcomes.
• Analyze patterns from prior initiatives and experiments to inform future decisions and anticipate impacts.
• Regularly engage in iterative cycles of learning, making targeted adjustments to enhance performance and results.
• Demonstrate resilience, flexibility, and adaptability when responding to evolving market dynamics and organizational priorities.
• Share lessons learned across teams and mentor others in using experimentation and learning as tools for growth and innovation.

Collaboration, Influence & Communication

• Partner closely with Business Development to align provider contracting strategies with employer value propositions and participate in employer-facing discussions as needed.
• Build and sustain strong relationships with providers, employers, brokers, and community partners to support market credibility and strategic alignment.
• Synthesize market intelligence and performance insights to strengthen The Alliance’s provider value proposition.
• Represent The Alliance in regional healthcare forums, provider meetings, and community events, serving as a trusted senior leader and ambassador.