Senior Provider Contracting & Value-Based Care Strategist

Community Health Choice, Inc.; Houston (TX); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Community Health Choice, Inc. in Houston seeks a Sr. Provider Contracting Manager to lead complex provider negotiations and value‑based agreements.

You will coordinate cross‑functional teams across Compliance, Legal, Quality, Finance, and Credentialing to implement contracts and ensure regulatory compliance. This senior IC role emphasizes expanding networks and managing data integrity for quality reporting.

Qualifications

• Six (6) years of progressively responsible provider contracting and contract negotiation experience in healthcare or managed care, including experience with complex provider agreements.
• Experience with hospital, physician, ancillary, LTSS, delegated provider arrangements, and alternative payment or value‑based agreements.
• Advanced managed care contract negotiation experience is required.
• Travel is required approximately 50% of the time.

Responsibilities

• Negotiate complex contract language and rates with hospital, physician, ancillary, and LTSS providers.
• Collaborate with Compliance, Legal, Quality, Finance, and Credentialing to finalize provider contracts and amendments.
• Ensure regulatory compliance and network adequacy standards for contracting functions.
• Lead quality performance monitoring, data submission coordination, and data integrity activities.
• Expand provider networks and value‑based provider agreements for existing and new lines of business.

Skills

Provider contracting

Value-based care

Contract negotiation

Stakeholder collaboration

Compliance knowledge

Provider relationships

Data submission coordination

Education

High school diploma or equivalent

Bachelor's degree in business, Healthcare Administration, Finance, or related field

Tools

QNXT

Salesforce

Contract management systems

Microsoft Office (Word, Excel, Outlook)

Job description

Community Health Choice, Inc. in Houston seeks a Sr. Provider Contracting Manager to lead complex provider negotiations and value‑based agreements.

You will coordinate cross‑functional teams across Compliance, Legal, Quality, Finance, and Credentialing to implement contracts and ensure regulatory compliance. This senior IC role emphasizes expanding networks and managing data integrity for quality reporting.