Senior Network Contracting Lead - Value-Based Care

CareMore Health; Arizona; Sur place; USD 81 000 - 122 000; Plein temps

Résumé du poste

CareMore Health in the United States is seeking a Senior Network Contracting Analyst to lead negotiations for complex provider contracts across Medicare Advantage, Medicaid, and other managed care populations. You will guide strategy, analyze market conditions, and collaborate with Finance, Legal, and Clinical leaders to ensure compliant, value-based arrangements.

The role requires independent management of contract negotiations, implementation, and administration, with a focus on network

Responsabilités

• Lead negotiations for complex primary care and specialty provider agreements, managing the full contract lifecycle from strategy development through execution and implementation.
• Develop negotiation strategies by evaluating provider performance, reimbursement methodologies, market conditions, utilization trends, quality metrics, and competitive intelligence.
• Interpret complex financial models to assess reimbursement scenarios, contract economics, provider performance, and the financial impact of proposed contract terms.
• Structure provider agreements that balance medical expense and affordability initiatives, network adequacy, quality outcomes, regulatory compliance, and long-term provider partnerships.
• Collaborate with Finance, Legal, Compliance, Provider Operations, Configuration, Credentialing, and Clinical leadership to ensure accurate implementation and operational readiness of executed agreements.
• Analyze provider network adequacy, access standards, cost trends, utilization patterns, and market opportunities to recommend strategic contracting initiatives and network optimization strategies.

Description du poste

CareMore Health in the United States is seeking a Senior Network Contracting Analyst to lead negotiations for complex provider contracts across Medicare Advantage, Medicaid, and other managed care populations. You will guide strategy, analyze market conditions, and collaborate with Finance, Legal, and Clinical leaders to ensure compliant, value-based arrangements.

The role requires independent management of contract negotiations, implementation, and administration, with a focus on network