Provider Network Manager Sr (Healthcare)

Location: Virtual full-time for candidates residing within commuting distance of offices in Colorado or Nevada; in-person training and travel to worksites may be required.

Salary: $91,812–$144,276 annually.

Company

hirify.global is a Fortune 25 healthcare company focused on improving lives and simplifying healthcare through its hirify.global and Carelon Behavioral Health businesses.

What you will do

• Develop provider networks through complex contract negotiations, relationship development, and provider servicing.
• Negotiate non-standard arrangements and customized fee schedules with large institutional providers, medical groups, and ancillary providers.
• Serve as a resource and mentor for contracting staff through training and on-the-job development.
• Ensure appropriate distribution of provider specialties across the network.
• Prepare financial projections, conduct analysis, and support projects involving business and enterprise partners.
• Act as a communication link between professional providers and the company.

Requirements

• BA/BS degree or an equivalent combination of education and experience.
• Minimum 5 years of experience in contracting, provider relations, or provider servicing, including prior contracting experience.
• Comprehensive negotiation skills supporting multiple lines of business.
• Strong project management skills and the ability to work independently with judgment and discretion.
• Availability for Monday–Friday, 40 hours per week, during either 8:00 a.m.–5:00 p.m. or 9:00 a.m.–6:00 p.m. shifts.

Nice to have

• Experience developing fee schedules using actuarial models.
• Experience with value-based care concepts and provider education around managed care.

Culture & Benefits

• Virtual work model with flexibility and autonomy, subject to in-person training and commuting-distance requirements.
• Medical, dental, vision, disability, life insurance, and wellness programs.
• Paid holidays, paid time off, merit increases, and incentive bonus programs.
• 401(k) with company match, stock purchase plan, and financial education resources.
• Recognition programs and other market-competitive total rewards.