Senior Provider Network Contract Strategist

Providence; Renton (WA); Hybrid; USD 54,346 - 84,364; Full time

Benefits offered by this job

401(k) savings plan with employer matching

Health care benefits

Paid parental leave

Job summary

Providence is looking for a Senior Provider Network Contract Specialist based in Renton, Washington. This full-time role involves developing and maintaining the Network Plan while ensuring compliance with URAC standards. The ideal candidate has strong experience in managed care operations and contract negotiations.

The responsibilities include leading negotiations with network providers and ensuring that all elements of the TRICARE Management Activity contract are met. A comprehensive benefits package is offered, reflecting the competitive nature of this position.

Qualifications

• 5 years of Managed care operations experience.
• Extensive understanding of capitated medicine and health plan contracts.

Responsibilities

• Develop and maintain Network Plan and provider handbook.
• Lead contract negotiations with network providers.
• Ensure compliance with the DoD contract and URAC standards.

Skills

Managed care operations

Capitated medicine

Contract negotiation

Stakeholder collaboration

Education

Bachelor’s Degree in related field

Job description

Providence is looking for a Senior Provider Network Contract Specialist based in Renton, Washington. This full-time role involves developing and maintaining the Network Plan while ensuring compliance with URAC standards. The ideal candidate has strong experience in managed care operations and contract negotiations.

The responsibilities include leading negotiations with network providers and ensuring that all elements of the TRICARE Management Activity contract are met. A comprehensive benefits package is offered, reflecting the competitive nature of this position.