Related skills
negotiation ffs_contracts risk_based_contracts📋 Description
- Lead end-to-end payer negotiations (FFS, value-based, risk-bearing, and hybrid)
- Design contract structures to improve margin and long-term scalability
- Leverage payer relationships to accelerate deal cycles
- Review health plan contracts and reimbursement mechanisms
- Translate clinical programs into reimbursable models
- Partner with Legal, Finance, and Ops to align contracts with economics and pricing
🎯 Requirements
- 8–10+ years in managed care contracting
- Proven ability to secure competitive rates and complex agreements
- Established strategic payer relationships
- Deep understanding of reimbursement models and healthcare economics
- Experience aligning contracting with pricing and financial models
- Highly credible communicator at executive and operator levels
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