Strategic Contracts & Network Growth Leader

Always Compassionate Home Care; Melville (NY); On-site; USD 95,000 - 135,000; Full time

Job summary

Always Compassionate Health in Melville, NY seeks an experienced Contracts Professional to negotiate terms with healthcare providers and payors, and to expand the provider network across home care and related services.

You will oversee contract administration, perform financial analysis, ensure regulatory compliance, monitor performance, and foster strong relationships with payers and government entities to support high-quality, compliant care.

Qualifications

• Bachelor's degree in healthcare administration, business, or a related field.
• Knowledge of managed care principles, reimbursement methodologies, and healthcare delivery systems.
• Strong negotiation and contract management skills.
• Analytical and financial acumen for evaluating data and financial implications.
• Excellent communication and interpersonal skills for building relationships and resolving conflicts.
• Familiarity with homecare/ healthcare regulations and compliance requirements.

Responsibilities

• Contract Negotiation: Collaborate with healthcare providers and insurance companies to negotiate contract terms, reimbursement rates, and other key aspects of the agreement.
• Provider Network Development: Identify and recruit healthcare payors to have Always Compassionate Health become a network provider to include all available services under its portfolio from personal care services to home infusion clinical services.
• Contract Administration: Oversee the implementation, recredentialing and maintenance of contracted agreements. Ensure compliance with contractual terms and conditions, monitor provider performance and adherence to quality standards, and address issues or disputes.
• Financial Analysis: Analyze and evaluate financial data related to managed care contracts, including fee reimbursements, reimbursement methodologies, and utilization patterns.
• Relationship Management: Foster positive relationships with healthcare payers and government entities. Serve as the main point of contact for inquiries, concerns, and dispute resolution.
• Regulatory Compliance: Stay up to date with applicable laws, regulations, and industry trends related to contracting. Ensure compliance with state and federal regulations, accreditation standards, and contractual obligations.
• Performance Monitoring and Reporting: Develop and implement performance metrics and reporting mechanisms to evaluate the effectiveness of payer contracts.

Education

Bachelor's degree in healthcare administration, business, or a related field

Master's degree in healthcare administration or related field

Job description

Always Compassionate Health in Melville, NY seeks an experienced Contracts Professional to negotiate terms with healthcare providers and payors, and to expand the provider network across home care and related services.

You will oversee contract administration, perform financial analysis, ensure regulatory compliance, monitor performance, and foster strong relationships with payers and government entities to support high-quality, compliant care.