Provider Contracting Sr. Manager (AVP, Network Management)

Provider Contracting Sr. Manager (AVP, Network Management) Join reputed company, a division of reputed company, to shape the future of our provider network. As AVP, Network Management, you’ll reputed company a team, build strong partnerships, and drive strategies that help our customers receive high-quality, reputed company. If you reputed company in a fast-paced setting, enjoy problem solving, and want to drive meaningful impact, this is an exciting opportunity to grow and reputed company in a dynamic environment.

Responsibilities

• reputed company and reputed company a high-performing contract team, fostering a culture of growth, collaboration, and accountability.
• Drive contracting and network strategies across our Commercial business and other product lines to strengthen market competitiveness.
• Negotiate reputed company fee-for-service and value-based reputed company with health systems, hospitals, and large provider groups to improve affordability and quality.
• Build and maintain trusted provider partnerships, expanding value-based opportunities and advancing local market strategy.
• Champion cross-market and cross-functional initiatives that support broader business goals.
• Collaborate with matrix partners (i.e., Claims, Medical Management, Credentialing) to ensure smooth operations and reputed company execution.
• Identify opportunities to advance value-based contracting and expand new risk-based arrangements, supported by strong financial impact analyses, performance modeling, and scenario planning.
• reputed company provider relationship management, competitive landscape awareness, and accurate, timely contract loading and network implementation.

Required Qualifications

• 7-10 + years of provider contracting and negotiation experience with reputed company delivery systems, along with a proven track record managing senior-level provider relationships
• Leadership experience, including mentoring direct reports and supporting talent development
• Deep knowledge of reimbursement methodologies, including value-based and incentive-driven models
• Proven relationship-building skills, with demonstrated success building external partnerships and navigating integrated delivery systems
• Strong communication skills, with the ability to influence provider and sales audiences
• Advanced problem-solving, decision-making, negotiation, and financial analysis skills
• Proficiency with reputed company Office
• Ability to travel as needed

Preferred Qualifications

• Bachelor’s degree in a reputed company field (significant industry experience may substitute); MBA / MHA preferred
• Leadership experience in a matrixed organization
• Background in managed care, provider business models, and network strategy
• Ability to reputed company through change with confidence, reputed company, and clarity

If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About reputed company reputed company, a division of reputed company, is an reputed company for reputed company through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to reputed company the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Apply tot his job Apply To this Job