Senior Network Contracting Specialist

1. About Our Client:The organization operates in the health insurance industry, focusing on providing insurance services built around a full technology platform to enhance member experience. Founded in 2012, it addresses challenges in healthcare access and cost by acting as a comprehensive support system for its members. 2. About the Opportunity:The Senior Network Contracting Specialist is responsible for negotiating and managing contracts with healthcare providers to develop and maintain a quality provider network within assigned markets. This role ensures access to quality care while optimizing costs through provider performance analysis and reimbursement negotiations. The position contributes to network stability and operational efficiency by supporting provider recruitment, issue resolution, and cost-saving initiatives. 3. Responsibilities:Negotiate contracts with healthcare providers ensuring favorable terms and compliance with standards and regulations.Review and analyze provider contracts to identify opportunities for improvement.Utilize data and analytics to guide contracting decisions.Support the implementation and monitoring of contracting policies and workflows.Track metrics related to network performance, costs, and provider satisfaction, reporting to leadership.Resolve provider issues promptly and professionally.Build and maintain relationships with healthcare providers.Assist with monitoring goals for provider satisfaction and operational efficiency.Support provider onboarding, training, and distribution of resources.Collaborate with Claims, Credentialing, and Contracting teams to address provider concerns.Participate in process improvement projects to enhance provider experience.Ensure compliance with all applicable laws and regulations.Perform other duties as assigned. 4. Requirements:Minimum of 2 years experience in provider network operations, contracting, or provider services.At least 1 year experience in the health insurance or healthcare industry.Experience working with large datasets such as claims and provider rosters.Associate's degree or equivalent professional experience is preferred. 5. Pay Range and Compensation Package:Base pay ranges from $71,539 to $93,895 per year.Eligibility for employee benefits, participation in an unlimited vacation program, and annual performance bonuses. 6. Benefits & Perks:Medical, dental, and vision insurance.Eleven paid holidays.Paid sick time.Paid parental leave.401(k) plan participation.Life and disability insurance.Paid wellness time and reimbursements. Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.