At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.
Senior Provider Network Contracting Specialist
Location
United States
Posted
1 day ago
Salary
$70K - $105K / year
Seniority
Senior
Job Description
Senior Provider Network Contracting Specialist
Enlyte
Role Description This is a fully remote position. Candidates located in NJ, NY, DE, and PA strongly preferred. The Senior Provider Network Contracting Specialist is responsible for developing, negotiating, implementing, and maintaining provider contracts that support the organization's network strategy, cost management goals, and member access requirements. - Manage complex contract negotiations. - Analyze financial and utilization data. - Support network expansion initiatives. - Provide guidance to junior team members. - Lead negotiations for complex provider agreements, amendments, and renewals with hospitals, physician groups, ancillary providers, and other healthcare entities. - Implement established reimbursement methodologies and contract terms aligned with organizational goals and market conditions. - Evaluate and negotiate rates and payment structures. - Ensure contracts comply with organizational standards, regulatory requirements, and operational capabilities. - Maintain positive provider relationships throughout the contracting process. - Support network expansion, adequacy, and optimization strategies. - Assist with provider terminations, transitions, and network restructuring efforts. Qualifications - Bachelor's degree preferred. - 5+ years of experience negotiating contracts with hospitals, physician organizations, ancillary providers, and other healthcare entities. - Demonstrated success managing complex negotiations and provider relationships. - Experience analyzing financial and healthcare utilization data. - Strong understanding of healthcare reimbursement methodologies and provider contracting practices. - Knowledge of managed care, WC, auto, and commercial health plan operations. - Excellent negotiation and relationship management skills. - Strong analytical and financial modeling capabilities. - Ability to interpret and apply contract language. - Excellent written and verbal communication skills. - Strong organizational and project management skills. - Proficiency with Microsoft Office Suite, including Excel skills. - Ability to manage multiple priorities in a fast-paced environment. Benefits - Medical, Dental, Vision. - Health Savings Accounts / Flexible Spending Accounts. - Life and AD&D Insurance. - 401(k). - Tuition Reimbursement. - An array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $70,000 - $105,000 annually, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
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