Manager, Contract Negotiator - Metro NY
$66,330–$159,120 year
On-siteNew York, United States or White Plains, New York, United States
Job Summary
Negotiate, execute, and maintain provider contracts with hospitals, physician groups, and ancillary providers while analyzing financial models and utilization trends to support network strategy and affordability goals. Manage contract amendments, renewals, and fee schedule changes, collaborating with cross-functional partners including Network Strategy, Finance, Legal, and Compliance to drive network performance and resolve disputes. Identify cost savings and network optimization opportunities, prepare executive summaries and business cases, and mentor less experienced colleagues. This role requires periodic travel within Metro New York and a commutable distance to the NYC office.
Required Qualifications
- A minimum of 3 years of healthcare provider contracting, network management, provider relations, reimbursement, health plan operations, healthcare consulting, or related experience
- Strong analytical skills with experience evaluating financial models, reimbursement structures, utilization patterns, and provider performance data
- Working knowledge of healthcare reimbursement methodologies including fee-for-service, value-based care, capitation, and risk-based arrangements
- Experience partnering across a highly matrixed organization and influencing stakeholders without direct authority
- Strong problem-solving, decision-making, and negotiation skills
- Excellent verbal, written, and presentation communication skills
- Ability to manage multiple priorities simultaneously and deliver results in a fast-paced environment
- Proficient in Microsoft Excel, PowerPoint, and other analytical tools
- Bachelor's degree or equivalent combination of education and relevant professional experience
- Must be able to effectively engage with provider leadership, internal stakeholders, and cross-functional partners in both virtual and in-person environments
- Periodic travel within Metro New York required to meet with provider organizations and attend business meetings
- This person must sit within a commutable distance to the NYC office
Desired Qualifications
- Experience negotiating contracts with hospitals, integrated delivery systems, academic medical centers, or large physician organizations
- Demonstrated experience negotiating provider contracts, reimbursement methodologies, or healthcare service agreements
- Experience supporting provider contracting activities within the Metro New York healthcare market
- Knowledge of Commercial, Medicare, Medicaid, and ACA products
- Experience with value-based care programs, alternative payment models, and risk-based contracting arrangements
- Knowledge of provider network adequacy standards, healthcare regulatory requirements, and contracting compliance practices
- Experience with healthcare claims analysis, reimbursement modeling, or provider performance reporting
- Familiarity with Aetna network management systems, provider contracting platforms, or contract administration tools
- Proven ability to influence senior provider executives and lead complex negotiations involving multiple stakeholders
- Experience supporting network strategy, affordability initiatives, and provider performance improvement efforts
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