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2 часа назад

Principal Provider Contract Analyst (Healthcare)

118 691 - 189 906$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Principal Provider Contract Analyst (Healthcare): Leading the end-to-end contracting lifecycle for strategically important healthcare provider organizations with an accent on complex negotiations, value-based care, reimbursement innovation, and network strategy. Focus on developing financial models, resolving escalated provider issues, coordinating cross-functional initiatives, and improving quality, affordability, and member experience outcomes.

Location: Remote-Flex in North Carolina; candidates must live in North Carolina. Virtual work with a few in-office visits each year; onsite expectations will be discussed during the interview process.

Salary: $118,691–$189,906 annually, plus annual incentive bonus and benefits.

Company

hirify.global is a healthcare organization focused on provider partnerships, healthcare delivery, affordability, quality outcomes, and community impact.

What you will do

  • Manage executive-level relationships with major health systems and strategically important provider organizations.
  • Own complex and escalated provider issues and coordinate timely resolution with internal and external stakeholders.
  • Lead the development, negotiation, implementation, and ongoing management of provider contracts and reimbursement arrangements, including value-based and shared-risk models.
  • Drive network strategy, cost-of-care management, quality and performance improvement, provider incentive programs, product strategy, and operational enhancements.
  • Lead cross-functional workgroups, provider meetings, executive touchpoints, and strategic initiatives.
  • Develop business cases, financial analyses, feasibility assessments, and forecasting models while monitoring provider performance and value-based care outcomes.

Requirements

  • Bachelor’s degree or advanced degree where required.
  • 8+ years of experience in a related field; 10+ years may substitute for the degree.
  • Must live in North Carolina.

Nice to have

  • Experience in healthcare provider contracting, network management, provider relations, or managed care, including responsibility for large and strategically significant provider organizations.
  • Experience leading complex provider negotiations involving value-based care, risk-sharing, alternative payment methodologies, and reimbursement innovation.
  • Experience building executive-level relationships with health system executives, physician leaders, and senior healthcare stakeholders.
  • Experience leading cross-functional initiatives involving network strategy, finance, actuarial, clinical, operations, legal, and product teams.
  • Strong financial and analytical skills in provider economics, contract modeling, forecasting, performance analysis, and cost-of-care management.
  • Knowledge of healthcare reimbursement methodologies, value-based care, regulatory requirements, and healthcare market dynamics.

Culture & Benefits

  • Remote-Flex work with a few in-office visits each year; the broader Hybrid-Flex model may require at least two office days per week depending on the role and distance from the Durham headquarters.
  • Work-life balance, flexibility, autonomy, and community-focused healthcare work.
  • Medical, dental, vision, health and wellness programs, paid time off, and parental leave.
  • Adoption and surrogacy assistance, career development programs, and tuition reimbursement.
  • 401(k) match with an annual company contribution and annual incentive bonus based on corporate and individual performance.

Hiring process

  • Onsite expectations will be discussed during the interview process.
  • hirify.global does not conduct text-based recruitment conversations or interviews and never requires applicants to pay fees.

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