Senior Provider Network Contractor - 241988

Medix™; Colorado; Remote; Full time

Job summary

A leading healthcare company is seeking a Senior Provider Network Contractor to negotiate complex provider agreements and manage the contracting process. This fully remote role requires candidates to reside in Colorado and offers competitive hourly pay. The position involves strategic planning, contract development, and collaboration with various healthcare providers. Ideal candidates will have extensive experience in healthcare contracting and strong analytical skills.

Qualifications

• 5-8 years of experience negotiating complex contracts with healthcare providers.
• Advanced knowledge of managed care contracting and healthcare delivery systems.

Responsibilities

• Negotiate complex provider agreements and develop strategic partnerships.
• Manage the contracting process, including rate negotiations and implementation.
• Analyze financial and operational performance of provider contracts.

Skills

Negotiation

Analytical Skills

Strategic Planning

Tools

MS-Office

Job description

Senior Provider Network Contractor - 241988

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This range is provided by Medix. Your actual pay will depend on your skills and experience — talk with your recruiter to learn more.

Base pay range

$45.00/hr - $55.00/hr

Fully remote; candidates must reside in Colorado. Equipment is provided.

Work hours: Mon to Fri, 8a-5p, 8:30a-5:30p, or 9a-6p.

Competitive hourly pay, weekly pay with direct deposit.

Contract through the end of October, with potential extension based on workload.

Qualifications:

• 5-8 years of experience negotiating complex contracts with healthcare providers (hospitals, health systems, clinics, etc.)
• Experience in strategic planning, contract template development, and quality control.
• Analytical skills, including reviewing claims history and trends.
• Advanced knowledge of managed care contracting, provider reimbursement, claims payment, medical terminology, and healthcare delivery systems.
• Proficiency in MS-Office applications (Word, Excel, Access).

Duties:

• Negotiate complex provider agreements, developing strategic partnerships with various healthcare providers.
• Maintain proficiency in reimbursement methodologies, contract language, and organizational operations.
• Manage the contracting process, including rate and language negotiations and operational implementation.
• Assist providers with contract interpretation and issue resolution.
• Serve as project lead and subject matter expert in contract template development, billing and coding, and contract management system administration.
• Collaborate with legal and staff to resolve claims issues.
• Analyze financial and operational performance of provider contracts.
• Provide guidance and support to Managed Care Contractors and staff.
• This is a remote role; candidates must reside in Colorado.

Additional Information:

• Seniority level: Not Applicable
• Employment type: Contract
• Job function: Analyst
• Industries: Insurance, Hospitals and Healthcare