Manager - Contracting

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Manager - Contracting based in the United States.

The Manager - Contracting will lead provider recruitment, contract negotiations, and network development to support the growth and performance of a healthcare delivery network. This role oversees the full contracting lifecycle for primary care physicians, specialists, and ancillary providers, ensuring agreements align with organizational objectives, regulatory requirements, and market needs. You will build strong provider partnerships while identifying opportunities to expand network coverage, improve access to care, and optimize existing provider relationships. Working cross-functionally with legal, credentialing, provider relations, and operational teams, you will ensure contracts are executed accurately and efficiently. The position combines strategic negotiation, healthcare network management, performance analysis, and project leadership in a collaborative, value-based care environment. This is an opportunity to influence provider network strategy while contributing to improved patient outcomes, operational excellence, and sustainable healthcare delivery.

• Provider Recruitment and Contract Negotiation: Lead end-to-end recruitment and negotiation of contracts with primary care physicians, specialists, and ancillary providers across assigned regional or national markets, ensuring compliance with corporate policies, health plan requirements, and applicable state regulations.
• Contract Development and Execution: Manage new provider agreements, contract amendments, and renewals, coordinating with legal, contracting, provider data management, credentialing, and other internal teams to ensure agreements are accurate, complete, and executed on schedule.
• Network Development and Optimization: Identify opportunities to expand and strengthen provider networks, assess market needs, and develop strategies to improve network adequacy, provider availability, and member access to healthcare services.
• Provider Relationship Management: Support the operational, financial, and clinical success of high-value provider partnerships by collaborating with provider relations teams and market leadership to address challenges and strengthen long-term relationships.
• Network Performance Monitoring: Establish and oversee reporting processes for network adequacy, provider performance, roster accuracy, and other relevant operational metrics, using data to identify improvement opportunities and guide network expansion priorities.
• Provider Data and Issue Resolution: Oversee provider roster management and support timely resolution of provider questions, contracting discrepancies, and network-related issues to maintain accurate records and efficient operations.
• Strategic Stakeholder Engagement: Initiate and lead meetings with health plans, corporate teams, and executive stakeholders to review provider performance data, scorecards, contracting priorities, and partnership strategies.
• Cross-Functional Project Leadership: Coordinate large-scale contracting and network initiatives across multiple departments, ensuring clear ownership, effective communication, and alignment with business objectives.
• Contract Compliance and Risk Management: Ensure contracting activities adhere to applicable regulatory requirements, health plan guidelines, internal policies, and established contractual standards while balancing cost, quality, access, and reimbursement considerations.
• Team Leadership and Development: Provide functional leadership and, where applicable, supervise team members through hiring, training, work allocation, performance management, and professional development.
• Continuous Improvement: Identify opportunities to improve contracting workflows, strengthen internal coordination, and enhance the accuracy, efficiency, and scalability of provider network operations.

Requirements:

• Education: Bachelor's degree in Health Administration, Business Administration, or a related field, or equivalent relevant professional experience.
• Relevant Experience: At least five years of experience in provider contracting, contract analysis, provider relations, or provider experience, preferably within a hospital, physician practice, medical group, or ancillary healthcare services organization.
• Contract Negotiation Expertise: Demonstrated experience negotiating healthcare provider agreements, interpreting contractual terms, and developing favorable arrangements while balancing financial performance, care quality, provider access, and organizational objectives.
• Contract Management and Compliance: Experience drafting, reviewing, negotiating, and managing contracts and amendments, with an understanding of contractual obligations, regulatory requirements, and compliance processes.
• Healthcare Industry Knowledge: Strong understanding of provider operations, healthcare insurance products, reimbursement structures, and managed care principles, including value-based care (VBC), fee-for-service (FFS), capitation, and risk-based contracting.
• Managed Care and Regulatory Experience: Familiarity with managed care operations, state and federal healthcare programs, and the regulatory considerations that affect provider contracting and network development.
• Project Management: Proven ability to lead cross-functional initiatives, coordinate multiple stakeholders, manage competing priorities, and deliver projects within established timelines.
• Leadership Experience: Previous experience leading a functional area, managing large-scale cross-functional projects, or supervising staff, including hiring, training, work allocation, and performance management.
• Analytical and Strategic Skills: Ability to evaluate provider performance data, interpret network metrics, assess market opportunities, and develop actionable recommendations to support contracting and network strategy.
• Communication and Relationship Management: Strong interpersonal, negotiation, presentation, and communication skills, with the ability to build productive relationships with providers, health plans, executives, and internal stakeholders.
• Organization and Attention to Detail: Excellent organizational skills and the ability to maintain accurate contract documentation, manage provider rosters, and coordinate multiple contracting activities simultaneously.
• Collaborative Approach: A commitment to integrity, innovation, patient-centered care, accountability, and teamwork, with the ability to work effectively across business and clinical functions.
• Work Arrangement: Ability to work remotely from the United States, with monthly or quarterly travel to the designated office in San Antonio, Texas, as required.

Benefits:

• Competitive Annual Compensation: Target salary range of $100,000–$120,000, with final compensation determined according to relevant experience, qualifications, and applicable factors.
• Remote Work Flexibility: Primarily remote work arrangement, with periodic monthly or quarterly travel to the San Antonio, Texas, office.
• Strategic Career Development: Opportunity to influence provider contracting strategy, network expansion, and healthcare partnership development.
• Leadership Opportunities: Scope to lead cross-functional initiatives and contribute to team development and operational improvements.
• Cross-Functional Collaboration: Work closely with provider relations, legal, credentialing, data management, health plan, and executive teams.
• Healthcare Industry Impact: Help strengthen provider networks, improve access to care, and support sustainable healthcare delivery through value-based care initiatives.
• Professional Growth: Develop expertise in managed care contracting, reimbursement models, provider network optimization, and strategic negotiations.
• Mission-Driven Environment: Contribute to a healthcare model focused on patient outcomes, provider empowerment, innovation, and operational excellence.
• Equal Employment Opportunity: A commitment to fair employment practices and decisions based on qualifications, merit, and business needs.