Strategic ACO Contract Manager

Jobgether; Kansas City (MO); Remote; USD 100.000 - 172.000; Vollzeit

Benefits dieser Stelle

Medical + dental + vision

401(k) plan with match

Paid time off

Paid holidays

Remote work flexibility

Volunteer time off

Caregiver support

Total rewards package

Remote work eligibility

Zusammenfassung

Jobgether is seeking a Strategic ACO Contract Manager based in the United States for a remote role. You will lead complex contract negotiations, manage provider relationships, and develop strategies balancing financial performance, outcomes, and affordability.

You’ll oversee the full contract lifecycle from negotiation to renewals, leveraging expertise in ACO arrangements, risk-based contracting, and financial modeling to deliver sustainable agreements that support organizational objectives.

Qualifikationen

• Bachelor’s degree in a related field or equivalent relevant experience.
• At least eight years of related work experience beyond the degree, with a strong background in healthcare contracting, provider relations, or health plan operations.
• Demonstrated success negotiating healthcare service and provider contracts, including value-based methodologies and ACO arrangements.
• Strong understanding of provider contracting strategies, risk-based agreements, reimbursement structures, financial models, operational impacts, and data analytics.

Aufgaben

• Negotiate, draft, and evaluate provider contracts, ensuring alignment with financial objectives and reimbursement guidelines.
• Oversee contracts from initiation to renewal and closure, managing deadlines and obligations.
• Maintain contract language, fee schedules, and reimbursement terms with policy changes.
• Build and maintain trusted relationships with healthcare providers and senior contracting representatives.
• Address provider concerns and resolve disputes to support long-term partnerships.
• Assess provider and network performance to identify opportunities for cost efficiency and quality improvement.
• Contribute to provider recruitment and network adequacy initiatives.
• Develop and negotiate value-based contracting arrangements to support quality and financial performance.
• Evaluate complex financial arrangements and risk-based contracting structures for viable solutions.
• Work with internal stakeholders to align contracts with business priorities and regulatory requirements.

Kenntnisse

Contract Negotiation

Healthcare Contracting

Provider Relations

Data Analytics

Financial Acumen

Legal Understanding

Relationship Management

Communication Skills

Strategic Thinking

Adaptability

Remote Work Eligibility

Work Authorization

Ausbildung

Bachelor's degree or higher

Jobbeschreibung

Our partner is looking for a Strategic ACO Contract Manager based in the United States.

We are seeking a strategic, results-driven contracting professional to strengthen provider networks and advance value-based healthcare partnerships. In this remote role, you will lead complex contract negotiations and manage relationships with hospitals, physician groups, and other healthcare providers. You will develop contracting strategies that balance financial performance, quality outcomes, network adequacy, and affordability. Working across healthcare operations and provider partnerships, you will oversee the full contract lifecycle, from negotiation and execution to renewals, amendments, and ongoing performance monitoring. Your expertise in Accountable Care Organization (ACO) arrangements, financial modeling, and risk-based contracting will help create sustainable agreements that support organizational objectives and improve healthcare delivery. This opportunity is ideal for an experienced negotiator who combines analytical thinking with strong relationship-building and strategic problem-solving skills.

Accountabilities

• Contract Negotiation and Development: Negotiate, draft, and evaluate provider contracts, ensuring alignment with financial objectives, standard contract templates, reimbursement guidelines, and established process controls.
• Contract Lifecycle Management: Oversee contracts from initiation and negotiation through execution, monitoring, renewal, amendment, and closure, ensuring critical deadlines and contractual obligations are managed effectively.
• Contract Maintenance: Keep contract language, fee schedules, and reimbursement terms current with applicable medical policy changes and evolving reimbursement structures.
• Provider Relationship Management: Build and maintain trusted relationships with healthcare providers and senior representatives of key contracting organizations.
• Issue Resolution: Address provider concerns, manage contractual disputes, and facilitate effective resolutions that support long-term partnerships.
• Network Performance Evaluation: Assess provider and network performance to identify opportunities for improvement in cost efficiency, quality, stability, and service delivery.
• Network Development and Adequacy: Contribute to provider recruitment, network expansion, network adequacy initiatives, and provider-facing marketing activities.
• Value-Based Contracting: Develop and negotiate innovative contracting arrangements, including ACO and other value-based models, to support quality improvement and financial performance.
• Financial and Strategic Analysis: Evaluate complex financial arrangements, risk-based contracting structures, reimbursement methodologies, and operational implications to identify viable contracting solutions.
• Cross-Functional Collaboration: Work with relevant internal stakeholders to ensure contracts support business priorities, regulatory requirements, and effective provider network operations.
• Additional Responsibilities: Perform other duties as assigned to support network management and contracting objectives.

Requirements

• Education: Bachelor’s degree in a related field or equivalent relevant experience.
• Professional Experience: At least eight years of related work experience beyond the degree, with a strong background in healthcare contracting, provider relations, or health plan operations.
• Contract Negotiation Expertise: Demonstrated success negotiating healthcare service and provider contracts, including experience with value-based methodologies and ACO arrangements.
• Healthcare Industry Knowledge: Experience in health plan operations, provider operations, or related healthcare environments.
• Provider Contracting Knowledge: Strong understanding of provider contracting strategies, risk-based agreements, reimbursement structures, financial models, operational impacts, and data analytics.
• Financial Acumen: Strong financial, analytical, and problem-solving skills, with the ability to evaluate complex financial arrangements and healthcare quality programs.
• Legal and Contractual Understanding: Ability to interpret and assess legal documents, contractual language, and complex agreement structures.
• Relationship Management: Proven ability to build and maintain collaborative external relationships based on trust, credibility, and clear communication at all organizational levels.
• Communication and Presentation: Excellent written, verbal, interpersonal, and presentation skills, including the ability to communicate complex contracting concepts effectively.
• Strategic Thinking: Ability to evaluate multiple scenarios, anticipate challenges, develop creative contracting solutions, and recommend the most effective course of action.
• Adaptability: Flexibility and creativity in developing contracting terms that address changing business needs while supporting sustainable provider partnerships.
• Remote Work Eligibility: Must have a primary home address in one of the following eligible states: Arkansas, Arizona, Florida, Georgia, Iowa, Illinois, Kansas, Kentucky, Michigan, Minnesota, Missouri, North Dakota, Nebraska, Oklahoma, South Dakota, Tennessee, Texas, Virginia, or Wisconsin.
• Work Authorization: Must be legally authorized to work in the United States at the time of application. Visa sponsorship is not available for this position.

Benefits

• Salary Range: Full salary grade of $100,300–$172,000 annually, with a typical hiring range of $100,300–$150,465.
• Additional Compensation: Potential eligibility for incentive plan compensation in addition to base salary.
• Healthcare Coverage: Medical, dental, and vision benefits.
• Retirement Savings: 401(k) contributions.
• Paid Time Off: Paid time off and company holidays.
• Volunteer Time: Paid volunteer time off.
• Caregiver Support: Access to caregiver services.
• Total Rewards Package: A comprehensive benefits offering designed to support employee well-being and work-life needs.
• Remote Flexibility: Remote work arrangement for eligible candidates residing in approved states