Network Contracting Manager

About the role

The organization operates in the health insurance sector, focusing on removing financial barriers to healthcare access. It offers an employer-based plan characterized by a single monthly premium with no copays or deductibles. The organization is expanding rapidly, supported by significant funding and a valuation over one billion dollars. It invests in AI-driven services, member engagement, and a network tailored to modern workforce needs.

The Network Contracting Manager plays a key role in managing and optimizing provider contracts and relationships. This position supports the organization’s goals by ensuring effective agreements with vendors and providers, improving contracting processes, and serving as a liaison among internal departments. The role is essential for maintaining a strong provider network and advancing the company’s healthcare accessibility mission.

Responsibilities

• Negotiate and maintain agreements with vendors and national providers
• Streamline and automate contracting support processes
• Coordinate training for new hires and staff, sharing best practices
• Guide negotiators to improve contracting performance
• Maintain and update the provider manual quarterly
• Maintain contracting templates according to PADU standards
• Manage provider termination processes
• Organize Joint Operating Committees with key providers
• Serve as the network contact for Legal, Compliance, Care Navigation, Operations, and Member Services
• Review Delegated Credentialing agreements

Requirements

• Bachelor’s degree or equivalent experience with 5+ years in provider contracting and/or health insurance
• Strong problem-solving, decision-making, negotiation, contract language, and financial skills
• Experience in ancillary provider contracting and negotiations
• Experience negotiating delegated credentialing agreements
• Proven ability to develop and manage key provider relationships, including with senior executives
• Demonstrated skill in building and nurturing provider partnerships
• Team-oriented with ability to work effectively in a fast-paced environment
• Customer-focused with strong interpersonal skills
• Ability to work remotely with occasional travel (5-10%)

Benefits

• Health plan with 100% employer-covered medical premiums for employees and 50% coverage for dependents
• $0 copays and $0 deductibles upon completion of baseline visit
• Integrated preventive and primary care
• Mental health support services
• One-on-one care navigation
• Chronic condition management programs
• Maternity and family planning support
• 24/7 telehealth access
• Pharmacy benefits
• Comprehensive dental and vision coverage
• Employer-provided life and disability insurance with supplemental options
• Flexible spending accounts
• Flexible work options including remote and in-person
• Generous paid time off plus 11 paid holidays annually
• 401(k) plan for full-time employees
• Paid parental leave ranging from 8 to 12 weeks based on eligibility