Strategic Provider Contracting Manager — Remote

TriWest Healthcare Alliance Corp.; Phoenix (AZ); Remote; USD 87,000 - 102,000; Full time

Benefits offered by this job

Medical, Dental and Vision Coverage

Paid time off

401(k) Retirement Savings Plan (with 9

Short-term and long-term disability

Life insurance

Job summary

TriWest Healthcare Alliance is seeking a seasoned professional to develop and maintain provider relationships within designated regions and to drive network development in alignment with DoD program requirements.

The role emphasizes negotiation, contract management, and strategic planning to ensure network adequacy and high-quality provider access. DoD background and citizenship are required; remote opportunities exist within the United States.

Qualifications

• Bachelor's degree in Business, Health Care Administration or equivalent experience.
• Experience managing large or complex provider contracts.
• 5 years of experience in a Managed Care or equivalent health care environment.

Responsibilities

• Provides legendary service and support to maintain strong relationships with internal and external customers.
• Develops negotiation strategies for areas of responsibility to achieve individual and department performance metrics.
• Develops strategic plan to meet network adequacy needs for areas of responsibility and submits to Sr. Manager for inclusion in overall network development plans.
• Regularly reviews and determines appropriate network access and development and makes recommendations to support network build activities.
• Monitors and resolves routine and escalated provider issues.
• Communicates information regarding market needs, competition, and industry trends to management team.

Skills

Negotiation

Provider contracting

Relationship management

Leadership

Strategic planning

Communication

Education

Bachelor's degree in Business, Health Care Administration or equivalent experience

5 years of experience in a Managed Care or equivalent health care environment

Tools

Excel

Contract management system

Job description

TriWest Healthcare Alliance is seeking a seasoned professional to develop and maintain provider relationships within designated regions and to drive network development in alignment with DoD program requirements.

The role emphasizes negotiation, contract management, and strategic planning to ensure network adequacy and high-quality provider access. DoD background and citizenship are required; remote opportunities exist within the United States.