Overview:
Contract Managers play a critical role in managing the CareCentrix provider network. They support contracting activities and oversee network providers across multiple payers. In this position, you will prepare, analyze, negotiate, and maintain provider contracts for services delivered on behalf of our clients. You will build and maintain strong relationships with providers and internal partners to ensure a high level of engagement and satisfaction. Additionally, you will help shape and execute the network management strategy, including value‑based care initiatives, market expansion, compliance, and overall provider experience.
Responsibilities:
- Lead the direct negotiation of a significant portion of CareCentrix provider contracts across multiple health plans, payers, and product lines (DME, Sleep, Home Infusion, Home Health) to support strategic business goals.
- Manage the full lifecycle of contract negotiations and renegotiations, ensuring all documents progress efficiently through to final signature.
- Collaborate with key internal stakeholders—including Legal, Revenue Cycle leadership, and Care Service Center teams —to ensure contract terms align with operational requirements.
- Ensure all contracts and associated fee schedules are complete, accurate, and submitted in a timely manner.
- Facilitate the onboarding process for new providers joining the network.
- Identify and coordinate alternative providers to ensure uninterrupted patient care during provider transitions or contract terminations.
- Maintain a strong understanding of provider reimbursement methodologies (Home Health, DME, Home Infusion, Sleep) and stay informed on evolving payment models.
- Build and strengthen relationships with key provider partners to drive collaboration and performance.
- Partner with providers to develop contracting strategies that enhance network coverage with high‑quality, cost‑efficient providers delivering timely service to members.
Qualifications:
- Bachelor’s degree desired. Equivalent relevant work experience may be considered in lieu of a degree.
- Minimum of 4 years of experience in a healthcare organization involving managed care contracting (e.g., provider relations, network development).
- Strong ability to interpret financial analyses and translate data into clear written summaries and actionable recommendations.
- Experience with bundled payment contracting or risk‑based/capitated payment models is preferred.
- Proficient in Microsoft Office, including Excel and PowerPoint, with advanced skills in computer systems, data management, and database development.
- Demonstrated success in contract negotiations, meeting facilitation, agenda creation, and achieving defined goals.
- Proven ability to meet stretch goals under challenging circumstances.
- Skilled in tracking, editing, and managing complex contracts involving multiple language iterations and addenda.
- Ability to collaborate effectively across internal teams and departments.
What We Offer:
What We Offer:
- Pay Range: $70000 - $80000 / year plus corporate bonus incentive.
- Benefits: Medical, Dental, Vision, 401(k) with company match, HSA employer contributions, Dependent Care FSA employer contribution, Paid Time Off, Personal/Sick Time, Paid Parental Leave, and more.
- Award winning culture: Keeps our company values at the heart of everything we do: We Care; We Do the Right Thing; We Strive for Excellence; We Think BIG; We Take our Work Seriously, Not Ourselves.
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CareCentrix maintains a drug-free workplace.
We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.
CareCentrix accepts applications on an ongoing basis until a candidate is identified.
