Manager - Contracting

Astrana Health, Inc.•San Antonio, TX
•$100,000 - $120,000•Remote

About The Position

The Manager - Contracting leads recruitment and negotiation of primary care, specialist, and ancillary provider contracts in accordance with company and state guidelines. The role builds new provider networks and optimizes existing networks, manages provider rosters, and oversees post-contract intake, including credentialing, contracting, and loading. The position manages end-to-end provider recruitment and negotiation, supports network operations and growth through new contracts and amendments, and coordinates with internal teams to ensure contracts are accurately and promptly loaded. It supports high-value provider relationships through provider relations teams and market leadership, monitors network adequacy and build-out targets, and works to resolve provider questions and issues. The manager also leads meetings with health plans and corporate teams to review provider performance data, scorecards, and partnership strategy. The organization follows a remote work structure, with work at home expected weekly and monthly or quarterly travel to the San Antonio office.

Requirements

  • Bachelor’s degree in Health Administration, Business Administration, a related field, or equivalent experience.
  • At least 5 years of contracting, contract analysis, provider relations, or provider experience, preferably in a hospital, physician’s office, physician group, or ancillary services setting.
  • Experience in project management and managed care, and with state and/or federal health programs.
  • Working knowledge of contracting language and principles of negotiation.
  • Previous experience as a functional-area lead, managing cross-functional teams on large-scale projects, or supervisory experience including hiring, training, assigning work, and managing staff performance.
  • Strong negotiation skills, including negotiating favorable terms while balancing cost, quality, and access, with a strong understanding of reimbursement models.
  • Healthcare industry knowledge, including foundational understanding of provider operations, insurance products, regulations, and familiarity with value-based care (VBC), fee-for-service (FFS), capitation, and risk contracting.
  • Experience in contract management and compliance, including drafting, reviewing, and managing contract terms.

Nice To Haves

  • Experience in a hospital, physician’s office, physician group, or ancillary services setting.

Responsibilities

  • Manage end-to-end recruitment and negotiation of regional and/or national primary care, specialist, and ancillary providers from sourcing through contract execution, following corporate, health plan, and state guidelines.
  • Manage new contracts and amendments to support network operations and provider and member growth.
  • Coordinate with contracting, legal, provider data management, credentialing, and other internal teams to ensure new contracts and amendments are loaded completely, accurately, and on time.
  • Support the operational, financial, and clinical success of high-value network providers through provider relations teams and the market leader.
  • Define, launch, and monitor network reporting, including network adequacy goals and metrics, targets for network build-out, provider roster management, and provider question and issue resolution.
  • Initiate and lead occasional meetings with health plans and corporate teams, including executive management, to review provider performance data, scorecards, and partnership strategy.
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