Senior Network Contracting Leader for Value-Based Care

CareMore Health Management Services, LLC; United States; Remote; USD 98,000 - 147,000; Full time

Job summary

CareMore Health Management Services, LLC is seeking a Senior Network Contracting Analyst to lead complex physician and specialist contract initiatives that support Medicare Advantage, Medicaid, and other managed care populations.

This role independently manages negotiations, implementation, and administration of provider agreements while providing strategic financial and market analysis to optimize network performance.

Qualifications

• Experience leading provider contract negotiations and renewals.
• Ability to interpret complex financial models and assess contract economics.
• Knowledge of value-based payment models and capitation concepts.

Responsibilities

• Lead negotiations for primary care and specialty provider agreements across the contract lifecycle from strategy through execution.
• Develop negotiation strategies based on provider performance, market conditions, utilization, quality metrics and competitive intelligence.
• Interpret financial models to evaluate reimbursement scenarios and the financial impact of contract terms.
• Structure provider agreements balancing medical expense, affordability, network adequacy, quality outcomes, and compliance.
• Collaborate with Finance, Legal, Compliance, Provider Operations, Credentialing, and Clinical leadership to ensure accurate implementation and readiness of agreements.
• Analyze provider network adequacy, access standards, cost trends, and market opportunities to recommend contracting initiatives and network optimization.
• Serve as primary contracting contact for assigned provider organizations, resolving interpretation questions and reimbursement issues while fostering relationships.
• Support value-based payment arrangements including shared savings, quality incentives, bundled payments, and capitation.

Skills

Negotiation

Financial analysis

Contract lifecycle management

Cross-functional collaboration

Healthcare contracting

Job description

CareMore Health Management Services, LLC is seeking a Senior Network Contracting Analyst to lead complex physician and specialist contract initiatives that support Medicare Advantage, Medicaid, and other managed care populations.

This role independently manages negotiations, implementation, and administration of provider agreements while providing strategic financial and market analysis to optimize network performance.