Provider Contract Manager
CareMore Health•Waipahu, HI
8d•$67,349 - $101,023
About The Position
The Provider Contract Manager serves as the expert for provider contract language, ensuring contracts are compliant, scalable, and operationally executable across a rapidly growing, value-based primary care organization. This role uses standardized contract templates, partners closely with Legal and Configuration, and enables strong provider relationships while supporting Medicare and Medicaid regulatory requirements for complex patient populations.
Requirements
- Strong knowledge of provider contracting, including Medicare and Medicaid regulations
- Ability to translate regulatory and legal requirements into clear, usable contract language
- Experience supporting audits, RFPs, and compliance reviews
- Uses the enterprise provider contract templates and approved language variations to contract with providers.
- Manages exception and alternative language frameworks with appropriate controls
- Ensures consistency, risk mitigation, and scalability
- Evaluates whether contract terms can be implemented efficiently across operations (Configuration, Claims, etc…)
- Assesses and quantifies business, financial, and operational impact of contract changes
- Balances compliance needs with business agility in a PE-backed environment
- Partners effectively with Legal, Configuration, Claims
- Educates stakeholders on contract language implications and best practices
- Presents recommendations to governance committees with confidence and clarity
- Contributes to enterprise contract management processes and tools
- Maintains tracking systems to ensure visibility, version control, and compliance
- Bachelor’s degree in Business, Healthcare Administration, Legal Studies, or related field (Master’s preferred)
- 5+ years of experience in provider contracting, provider relations, or contract administration
- Experience supporting Medicare and/or Medicaid provider agreements
- Comfortable operating in a fast-paced, growth-oriented, private equity-backed healthcare organization
- Detail-oriented, collaborative, and trusted as a subject matter expert
Nice To Haves
- Background in value-based care, primary care, or risk-based models strongly preferred
Responsibilities
- Provider Contracting & Regulatory Expertise
- Contract Language Strategy & Standardization
- Operational & Business Acumen
- Stakeholder Influence & Collaboration
- Process & Systems Orientation
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What This Job Offers
Job Type
Full-time
Career Level
Manager
