Strategic Network Contracting Lead

CareMore Health Management Services, LLC; San Francisco (CA); On-site; USD 98,000 - 147,000; Full time

Job summary

CareMore Health Management Services, LLC in San Francisco seeks a Senior Network Contracting Analyst to lead complex physician and specialist contract initiatives, manage the full lifecycle from strategy through execution, and provide strategic financial and market analysis to optimize network performance.

You will negotiate provider agreements, analyze reimbursement models, ensure regulatory compliance, collaborate with Finance, Legal, Compliance, and Clinical leadership, and contribute to

Qualifications

• Experience negotiating complex provider contracts.
• Experience interpreting complex financial models for contracts.
• Knowledge of value-based payment arrangements and provider network economics.

Responsibilities

• Lead negotiations for complex provider agreements from strategy through execution.
• Interpret financial and market data to evaluate contract economics and reimbursement scenarios.
• Collaborate with Finance, Legal, Compliance, Provider Operations, Credentialing, and Clinical leadership to implement agreements.
• Analyze provider network adequacy, access standards, and market opportunities to guide contracting strategy.
• Support development and implementation of value-based payment arrangements (shared savings, quality incentives, bundled payments, capitation).
• Prepare executive-level reports and contracting recommendations for Network Management leadership.

Skills

Negotiation

Financial analysis

Contract management

Cross-functional collaboration

Data interpretation

Job description

CareMore Health Management Services, LLC in San Francisco seeks a Senior Network Contracting Analyst to lead complex physician and specialist contract initiatives, manage the full lifecycle from strategy through execution, and provide strategic financial and market analysis to optimize network performance.

You will negotiate provider agreements, analyze reimbursement models, ensure regulatory compliance, collaborate with Finance, Legal, Compliance, and Clinical leadership, and contribute to