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20 часов назад

Senior Specialist, Network Contracting (Healthcare)

71 539 - 93 895$
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
Senior Specialist, Network Contracting (Healthcare): Negotiating and managing provider contracts and Single Case Agreements to build and maintain healthcare networks, with an accent on reimbursement analysis, regulatory compliance, and provider performance. Focus on optimizing contracting terms, analyzing claims and provider data, resolving provider issues, and improving network performance and operational workflows.

Location: Remote, open to candidates residing in Arizona, Florida, Georgia, or Texas; occasional travel may be required for team meetings and company events.

Salary: $71,539–$93,895 per year, plus benefits, unlimited vacation, and annual performance bonuses.

Company

hirify.global is a health insurance company built around a full-stack technology platform and focused on improving the member healthcare experience.

What you will do

  • Negotiate and manage Single Case Agreements and contracts with hospitals, health systems, and individual healthcare providers.
  • Review provider contracts and identify opportunities to improve terms, costs, and compliance.
  • Analyze provider financial issues, competitor strategies, network performance, costs, provider satisfaction, and operational KPIs.
  • Support contracting policies, workflows, provider onboarding, training, and resource distribution.
  • Resolve provider issues and collaborate with Claims, Credentialing, and Contracting teams.
  • Build provider relationships and participate in process improvement initiatives.

Requirements

  • 2+ years of experience in provider network operations, contracting, or provider services.
  • 1+ year of experience in health insurance, including individual or Medicare Advantage insurance, and/or the healthcare industry.
  • 1+ year of experience navigating and organizing large datasets such as claim files and provider rosters.
  • Ability to comply with applicable laws, regulations, organizational standards, and contracting requirements.

Nice to have

  • Associate’s degree or equivalent professional experience.

Culture & Benefits

  • Full-time employment with medical, dental, and vision benefits.
  • 11 paid holidays, paid sick time, paid parental leave, and paid wellness time.
  • 401(k) plan participation, life insurance, and disability insurance.
  • Unlimited vacation program and annual performance bonuses.
  • Remote work with occasional travel for team meetings and company events.

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