Health Plan Provider Contracts Manager - Complex

hckd.fa.us2.oraclecloud.com.CX_1

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Until 9/5/2026 First posted July 7, 2026 Last posted July 7, 2026
Job description

***Remote and must live in Iowa*** JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Responsible for negotiating agreements, including value-based payment methodology, with complex provider groups that are strategically critical to plan success, including but not limited to: hospitals, independent physician associations (IPAs), and behavioral health organizations. Essential Job Duties • Negotiates contracts and letters of agreement with the complex provider community to secure high quality, cost-effective and marketable plan providers. • Contracts/re-contracts with large-scale entities involving custom reimbursement; executes standardized alternative payment model (APM) contracts; issues escalations, and supports network adequacy, joint operating committees (JOCs),...

About this role

Summary

Lead negotiations and contracts for complex healthcare provider networks.

Job title

Health Plan Provider Contracts Manager - Complex

Experience level

null

Industry

healthcare

Location requirements

remote, must live in Iowa

Salary

Not specified

Management role

No

Skills & keywords

Required skills

contract negotiationhealthcare contractsprovider network

Preferred skills

None specified

Specializations

provider contractsvalue-based paymentnetwork strategynegotiation
Locations

Structured locations inferred from the posting.

Iowa, USA

Remote State