Senior Provider Contracting Professional
MSCCN - Raleigh, NC
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Become a part of our caring community and help us put health first The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Begins to influence departmentu2019s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications + 3 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company + Experienced in negotiating managed care contracts with large physician groups, ancillary providers and hospital systems. + Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers. + Must have experience with Medicaid or Medicare contracting + Must be located within the region (GA, SC, NC) Preferred Qualifications + Bachelor's degree + Experience with ACO/Risk Contracting + Experience with Value Based Contracting Additional Information This role is
Created: 2026-02-16