Provider Contract Manager

Renown Health • Reno, NV

290d

About The Position

The Provider Contract Manager is responsible for overseeing and guiding the Network Services team which is responsible for the development, maintenance, and optimization of contracted network providers. This role ensures that financial goals related to facility and provider contracting are met, enhances provider satisfaction, and ensures compliance with all state, federal, and accreditation standards. The Provider Contract Manager also presents complex contract analyses to senior leadership, contributing to strategic decision-making.

Requirements

• Bachelor's degree in business, healthcare administration, or related field from an accredited college or university, or equivalent experience.
• Minimum of 5 years of experience in contract negotiation.
• Proven leadership experience, with a strong background in mentoring and guiding teams.
• Demonstrated ability to perform complex contract analyses and present findings effectively to senior leaders.
• Strong interpersonal skills with the ability to work collaboratively across departments.
• Excellent communication skills, both verbal and written.
• Analytical mindset with a solution-oriented approach to problem-solving.

Nice To Haves

• 5 years' experience in network management, provider relations, or healthcare contracting.
• Advanced knowledge of healthcare contracting and provider networks.
• Proficiency in data analysis tools and reporting software.
• Knowledge and expertise in Tapestry, state, and federal insurance regulations, and NCQA standards.

Responsibilities

• Oversee and mentor the Contracting team, providing daily guidance, support, and development.
• Ensure financial goals of Hometown Health are met by managing contracts with providers and facilities, negotiating favorable terms, and ensuring compliance with budgetary objectives.
• Conduct complex contract analyses, presenting findings, insights, and recommendations to senior leaders.
• Partner with other leaders and teams across the organization to enhance internal processes and optimize the provider experience.
• Lead or contribute to cross-functional initiatives aimed at streamlining workflows, improving communication, and increasing efficiency.

What This Job Offers

• Industry: Hospitals
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees