Senior Provider Network Contracting Strategist

Medica; Omaha (NE); On-site; USD 79,000 - 135,000; Full time

Job summary

Medica in Omaha, NE seeks a Provider Network Contractor III to develop, negotiate, and maintain a competitive provider network that supports affordability and quality care. You will ensure contracts meet reimbursement standards, regulatory requirements, and internal controls while building strong relationships with hospitals, physicians, and ancillary providers.

This on-site role requires a Bachelor's degree or equivalent, 5+ years in healthcare, and excellent communication, analytical, and

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5+ years of work experience within a healthcare environment.
• Excellent communication (written, verbal and presentation) skills.
• Strong financial, analytical and problem-solving abilities.
• Knowledge of provider contracting processes and healthcare reimbursement concepts.

Responsibilities

• Develop and optimize a geographically adequate provider network.
• Lead negotiations with hospitals, physicians, and ancillary providers.
• Ensure all contracts adhere to templates, legal requirements, and internal process controls.
• Analyze claims cost and utilization to identify contracting opportunities and network improvements.
• Collaborate with legal, finance, provider operations, and medical management teams to implement contracts.

Education

Bachelor's degree or equivalent experience in related field

Job description

Medica in Omaha, NE seeks a Provider Network Contractor III to develop, negotiate, and maintain a competitive provider network that supports affordability and quality care. You will ensure contracts meet reimbursement standards, regulatory requirements, and internal controls while building strong relationships with hospitals, physicians, and ancillary providers.

This on-site role requires a Bachelor's degree or equivalent, 5+ years in healthcare, and excellent communication, analytical, and