Added
22 minutes ago
Type
Full time
Salary
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Related skills

partnerships contracting provider networks tpa value-based contracting

πŸ“‹ Description

  • Identify provider network opportunities (national, regional, direct-contract)
  • Develop network configurations to support broker distribution
  • Ensure network economics align with underwriting and pricing
  • Support geographic expansion with scalable network infra
  • Lead negotiations with provider groups, networks, and partners
  • Establish go-live timelines and monitor post-launch performance

🎯 Requirements

  • 7–10+ years in provider networks, care partnerships, or TPA/health ops
  • Direct experience negotiating and contracting provider or network agreements
  • Strong understanding of claims administration, stop-loss structures, and reimbursement models
  • Experience working within or alongside a TPA, carrier, MGU, or self-funded plan environment
  • Proven ability to lead cross-functional strategy-to-execution initiatives
  • Nice to have: exposure to value-based contracting models

🎁 Benefits

  • Competitive compensation
  • 100% company-paid health, vision & dental for you and dependents
  • Life, AD&D and Short-Term Disability coverage
  • Discretionary time off
  • Work-from-home stipend for remote employees
  • 401(k) account
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