Senior Provider Network Negotiator

Healthfirst, Inc.; New York (NY); On-site; USD 123,000 - 188,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Incentive programs

Life insurance

401k contributions

Competitive compensation package

Job summary

Healthfirst, Inc. in New York, NY seeks a Senior Provider Network Contractor to strategically engage out-of-network providers and secure in-network participation at market-aligned rates.

The role emphasizes high-impact negotiations, network adequacy, and affordability objectives. You will lead complex rate negotiations, analyze reimbursement models, and collaborate with Finance, Legal, Utilization Management and Operations to align with enterprise goals.

Qualifications

• 8 years of progressive experience in managed care contracting and network negotiations.
• Proven track record leading complex, high-value provider negotiations.
• Deep expertise in healthcare reimbursement models and regulatory frameworks.
• Strong understanding of provider market dynamics and leverage strategies.
• Exceptional negotiation, influence, and executive communication skills.
• Ability to operate independently with minimal oversight in a contractor capacity.

Responsibilities

• Identify and prioritize high-cost out-of-network providers using claims data and network gaps.
• Develop and execute outreach strategies to engage providers with leverage.
• Lead complex negotiations to achieve competitive reimbursement rates and favorable terms.
• Structure agreements balancing market realities with financial targets and regulatory constraints.
• Collaborate with Finance, Legal, Utilization Management and Operations to ensure alignment.
• Provide expert guidance to leadership on market trends and provider dynamics.
• Track outcomes and report on negotiation progress and financial impact.

Skills

Negotiation

Strategic thinking

Healthcare reimbursement knowledge

Executive communication

Education

MBA

MHA

JD

Job description

Healthfirst, Inc. in New York, NY seeks a Senior Provider Network Contractor to strategically engage out-of-network providers and secure in-network participation at market-aligned rates.

The role emphasizes high-impact negotiations, network adequacy, and affordability objectives. You will lead complex rate negotiations, analyze reimbursement models, and collaborate with Finance, Legal, Utilization Management and Operations to align with enterprise goals.