Senior Provider Contracting Professional (Healthcare)

Location: Remote Missouri, Wisconsin, Kansas, Iowa, Illinois, Nebraska, or Minnesota; United States. Occasional travel to hirify.global offices for training or meetings may be required.

Salary: $78,400–$107,800 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and health insurance company serving Medicare, Medicaid, individual, family, military, and community members through hirify.global insurance and CenterWell healthcare services.

What you will do

• Lead provider contracting activities for assigned markets, territories, provider types, and networks.
• Negotiate and execute provider agreements, amendments, renewals, and terminations in line with enterprise network strategy.
• Develop relationships with physicians, provider groups, ancillary providers, and hospitals.
• Resolve complex issues involving contract interpretation, escalations, and provider relationship management.
• Evaluate financial and operational impacts of contract terms, payment structures, and reimbursement models.
• Partner with legal, finance, network operations, credentialing, provider engagement, clinical leadership, and other matrixed teams to support affordability, quality, network adequacy, growth, member access, compliance, shared-savings arrangements, and quality rewards programs.

Requirements

• Bachelor’s degree.
• 5+ years of progressive network management experience, including hospital contracting and network administration in a healthcare company.
• Experience negotiating managed care contracts with large physician groups, ancillary providers, and hospital systems.
• Ability to analyze, understand, and communicate the financial impact of contract terms, payment structures, and reimbursement rates to providers.
• Proficiency with Microsoft Office applications.

Nice to have

• Master’s degree.
• Experience with ACO/risk contracting.
• Experience with value-based contracting.

Culture & Benefits

• Remote work with a dedicated workspace required to protect member PHI and HIPAA information.
• Self-provided internet must provide at least 25 Mbps download and 10 Mbps upload speeds.
• 40 scheduled hours per week.
• Benefits include medical, dental and vision coverage, 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
• Equal employment opportunity and affirmative action employer.