Senior Network Development

Go Fractional

Northern (KY)

Remote

USD 110,000 - 160,000

Full time

4 days ago
Be an early applicant
Application generator

Get a reply from this employer — a resume and cover letter tailored to exactly what they’re hiring for.

Get past ATS filters

Job summary

Go Fractional is seeking a Senior Network Development Contractor to expand and strengthen a Medicare-compliant provider network. You will combine contracting expertise with proactive business development to ensure network adequacy and expansion into new counties while building relationships with physician groups, hospitals, and ancillary providers.

This fully remote role supports a collaborative team across time zones and emphasizes initiative, sound judgment, and the ability to adapt to

Qualifications

  • Bachelor's degree or equivalent experience.
  • 4–8 years negotiating and servicing managed care contracts.
  • Experience with Medicare Advantage contracting; SNPs familiarity a plus.
  • Experience in value-based contracting and/or understanding value-based care concepts.
  • Track record with complex providers (large medical groups, hospitals, ancillary entities).
  • Strong outreach, prospecting, relationship-building, research and due diligence capabilities.

Responsibilities

  • Recruit, evaluate, contract with, and maintain physician, hospital, ancillary, and other provider relationships across geographies.
  • Maintain network adequacy while supporting expansion into new counties and markets.
  • Research prospective providers, conduct due diligence, and prioritize outreach based on needs.
  • Initiate, negotiate, and execute managed care contracts, including complex providers and large groups.
  • Explain contract terms, payment structures, and reimbursement rates to providers and assess financial impact.
  • Maintain contracts, outreach activity, and documentation in tracking systems.

Skills

Provider outreach
Prospecting
Relationship-building
Research & due diligence
Negotiation
Contract terms communication

Education

Bachelor's degree in business, healthcare administration, or related field

Tools

Microsoft Word
Excel

Job description

Summary

Join our Provider Services team in a highly visible role focused on expanding and strengthening a Medicare-compliant provider network. As a Senior Network Development Contractor, you will combine provider contracting expertise with proactive business development to maintain network adequacy, support expansion into new counties, and build productive relationships with physician groups, hospitals, ancillary providers, and other complex healthcare organizations.

This is an opportunity for a self-directed professional who enjoys researching new markets, initiating provider outreach, communicating the value of network participation, and guiding prospects through negotiation and execution. You will join a collaborative, fully remote contracting team that supports employees across multiple time zones and values sound judgment, organization, and the ability to adapt to changing business priorities. Internal Job Title : Provider Contractor Senior

Why Join Us:

  • Make a direct impact on access to care by building networks that support Medicare beneficiaries in new and existing markets.
  • Own meaningful provider relationships from initial research and outreach through negotiation and contract execution.
  • Work with a collaborative, fully remote team serving multiple time zones.
  • Take on varied assignments that reward initiative, sound judgment, and independent decision-making.

What Success Looks Like:

  • Achievement of network adequacy and contracting goals.
  • Consistent execution of provider outreach and recruitment activities.
  • Quality and timeliness of contract negotiations and implementations.
  • Effective prioritization of opportunities resulting in measurable network expansion.
  • Demonstrated critical thinking and sound business judgment in provider selection and contracting decisions.

Work Schedule: The ideal work hours for this position are 8:00 a.m. to 5:00 p.m. Central Time, with some flexibility based on the candidate's location.

Essential Duties & Responsibilities
  • Recruit, evaluate, contract with, and maintain physician, hospital, ancillary, and other provider relationships within assigned geographies.
  • Help maintain network adequacy while supporting strategic expansion into new counties and markets.
  • Research prospective providers, conduct due diligence, and independently prioritize outreach based on evolving network needs.
  • Build relationships through cold calling, email outreach, and consultative conversations that clearly communicate the value of joining the network.
  • Initiate, negotiate, and execute managed care contracts, including agreements involving complex providers and large medical groups.
  • Explain contract terms, payment structures, and reimbursement rates to providers and assess the financial impact of proposed terms.
  • Maintain accurate contracts, outreach activity, and supporting documentation within established tracking systems.
  • Apply sound judgment in ambiguous situations while aligning decisions with department strategy, organizational objectives, established guidelines, and procedures.
  • Manage multiple priorities in a fast-paced, remote environment and contribute to continuous process improvement.
Qualifications
  • Bachelor's degree in business, healthcare administration, or a related field, or equivalent relevant experience.
  • 4-8 years of experience negotiating and servicing managed care contracts with physicians, hospitals, ancillary providers, and/or other healthcare providers.
  • Experience with Medicare Advantage contracting; familiarity with Medicare Special Needs Plans, including I-SNP and C-SNP, is a plus.
  • Experience in value-based contracting and/or a strong understanding of value-based care concepts.
  • A track record of working with complex providers, such as large institutional providers, large medical groups, and ancillary organizations.
  • Strong provider outreach, prospecting, relationship-building, research, and due diligence capabilities.
  • Confidence initiating cold calls and email outreach and presenting a compelling case for network participation.
  • Ability to understand and communicate contract terms, reimbursement structures, payment methodologies, and financial impact.
  • Excellent written and verbal communication, organization, documentation, and record-keeping skills.
  • Ability to work independently, make informed decisions with minimal direction, and balance multiple priorities as business needs change.
  • Proficiency with Microsoft Word and Excel.

Position Type: Full-Time

Category: Network Management

Get your free, confidential resume review.

or drag and drop your file here.

Similar jobs

Similar jobs worth comparing

Provider Network Specialist- temporary
Provider Network Specialist- temporary

Provider Partners • Dallas (TX)

On-site
USD 60,000 - 85,000
Senior Network Development Contractor
Senior Network Development Contractor

Curana Health, Inc. • United States

Remote
USD 90,000 - 130,000
Senior Network Development Contractor
Senior Network Development Contractor

Curana Health • Northern (KY)

Hybrid
USD 90,000 - 160,000
Sr. Network Development Executive
Sr. Network Development Executive

MultiPlan • McLean (VA)

On-site
USD 84,000 - 110,000
Health insurance
401k
Bonus opportunity
Executive,Network Dev,Sr
Executive,Network Dev,Sr

Claritev • United States

On-site
USD 150,000 - 210,000
Provider Network Specialist- temporary
Provider Network Specialist- temporary

Provider-Partners-Health-Plan- • Dallas (TX)

On-site
USD 55,000 - 75,000
Sr. Network Development Executive
Sr. Network Development Executive

Claritev Corporation • United States

On-site
USD 84,000 - 110,000
Health insurance
401k
Bonus opportunity
Senior Network Contract Manager - Remote
Senior Network Contract Manager - Remote

Taleo • Draper (UT)

Remote
USD 92,000 - 164,000
Senior Network Contract Manager - Remote
Senior Network Contract Manager - Remote

UnitedHealth Group • Draper (UT)

Remote
USD 92,000 - 164,000
Managed Care Contracting Specialist (Remote: NV or UT)
Managed Care Contracting Specialist (Remote: NV or UT)

ADP, Inc. • Salt Lake City (UT)

Remote
USD 34,000 - 37,000