Strategic ACO Contract Manager

Jobgether; United States; Remote; USD 100,000 - 172,000; Full time

Benefits offered by this job

Healthcare Coverage

401(k) retirement plan

Paid time off

Volunteer time off

Caregiver support

Remote flexibility

Job summary

Jobgether is seeking a senior contract manager to lead provider contracting across the United States. You will negotiate, draft, and evaluate agreements, oversee contract lifecycle from initiation to closure, and ensure compliance with reimbursement guidelines and internal controls.

You will build trusted provider relationships, analyze financial and risk-based models, and partner with cross-functional teams to align contracting strategies with business priorities while enabling remote work for

Qualifications

• Bachelor’s degree or equivalent relevant experience.
• 8+ years of related work experience in healthcare contracting, provider relations, or health plan operations.
• Proven success negotiating healthcare service and provider contracts, including value-based methodologies and ACO arrangements.
• Experience in health plan operations, provider operations, or related healthcare environments.
• Strong understanding of provider contracting strategies, risk-based agreements, reimbursement structures, financial models, data analytics.
• Strong financial, analytical, and problem-solving skills with ability to evaluate complex arrangements and quality programs.
• Ability to interpret and assess legal documents and complex agreement structures.
• Proven ability to build and maintain collaborative external relationships at all organizational levels.
• Excellent written, verbal, interpersonal, and presentation skills.
• Strategic thinking to evaluate scenarios, anticipate challenges, and craft contracting solutions.
• Adaptability to changing business needs while supporting provider partnerships.

Responsibilities

• Negotiate, draft, and evaluate provider contracts.
• Oversee contracts from initiation through execution, renewal, amendment, and closure.
• Keep contract language, fee schedules, and terms current with policy changes.
• Build and maintain relationships with healthcare providers and key contracting organizations.
• Address provider concerns and resolve disputes to support long-term partnerships.
• Assess provider and network performance to identify cost, quality, and service improvements.
• Contribute to provider recruitment, network expansion, and marketing activities.
• Develop innovative contracting arrangements, including ACO and other value-based models.
• Evaluate complex financial arrangements, risk-based contracting, and reimbursement methodologies.

Skills

Contract negotiation

Healthcare contracting

Provider relations

Financial analysis

Legal understanding

Communication

Education

Bachelor’s degree

Job description

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