Provider Network Contracting Specialist

Enlyte • UNAVAILABLE, California

1d • Remote

About The Position

This is a remote position and can be located anywhere in the US. Must be willing to work 8am to 5pm PST timezone.

Contract Management & Negotiation:
Negotiate, execute, and review contracts with diverse provider types (hospitals, physician groups, ASCs, SNFs, rehabilitation and long-term acute care facilities) ensuring alignment with company standards, compliance requirements, and financial objectives
Conduct financial and operational analysis of contract terms, rate structures, and value-based arrangements to optimize network profitability and member access
Independently manage complex negotiations involving multiple stakeholders; escalate strategically when needed
Network Development & Relationship Management:
Build and maintain strategic relationships with facility leadership, physicians, and ancillary providers to support network growth and service line expansion
Identify market gaps and opportunities to enhance provider networks; recommend new partnerships aligned with business goals
Serve as primary contact for assigned providers; address concerns and resolve disputes to ensure contract compliance and satisfaction

Requirements

• Bachelor's degree in Business, Healthcare Administration, Finance, or related field (or equivalent professional experience)
• 5+ years of direct experience in provider contracting, managed care network development, or health plan operations
• Proven negotiating skills in complex, multi-party contracting scenarios
• Strong financial acumen: ability to analyze rate structures, build financial models
• Expert proficiency in Microsoft Office (Excel, Word, PowerPoint); comfort learning proprietary contracting systems
• Excellent communication and interpersonal skills; ability to influence and build consensus across organizational levels

Nice To Haves

• Workers' Compensation insurance and contracting experience
• Familiarity with healthcare compliance requirements (network adequacy, credentialing standards, regulatory reporting)
• Experience with contract management software or healthcare information systems
• Working knowledge of healthcare finance, actuarial analysis, or reimbursement modeling

Responsibilities

• Negotiate, execute, and review contracts with diverse provider types (hospitals, physician groups, ASCs, SNFs, rehabilitation and long-term acute care facilities) ensuring alignment with company standards, compliance requirements, and financial objectives
• Conduct financial and operational analysis of contract terms, rate structures, and value-based arrangements to optimize network profitability and member access
• Independently manage complex negotiations involving multiple stakeholders; escalate strategically when needed
• Build and maintain strategic relationships with facility leadership, physicians, and ancillary providers to support network growth and service line expansion
• Identify market gaps and opportunities to enhance provider networks; recommend new partnerships aligned with business goals
• Serve as primary contact for assigned providers; address concerns and resolve disputes to ensure contract compliance and satisfaction

Benefits

• Medical
• Dental
• Vision
• Health Savings Accounts / Flexible Spending Accounts
• Life and AD&D Insurance
• 401(k)
• Tuition Reimbursement
• An array of resources that encourage a lifetime of healthier living

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level