Senior Manager, Provider Contracting

Blue Cross NC

. Lead teams assessing, developing, articulating, negotiating, implementing, overseeing, and managing complex enterprise and divisional innovative provider reimbursement initiatives .

Posted 10/22/2026full-timeDurham • North Carolina • United StatesSenior💰 $130,560 - $208,896 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading provider reimbursement initiatives and contract negotiations, with a strong focus on financial modeling and strategic network development. Proven ability to manage large-scale contracts and collaborate effectively with cross-functional teams within a health plan.

Highest-signal resume keywords

Provider Contract NegotiationHigh-Complexity Provider ContractingFinancial ModelingExecutive Level Provider Relationship ManagementExperience Leading Teams

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider Reimbursement InitiativesContract ManagementReimbursement ModelsValue-Based CarePay For Performance ModelsCost Of Care AnalysisFeasibility ModelingStrategic PlanningResource AllocationNegotiation Strategies

Soft Skills

LeadershipCollaborationRelationship BuildingCommunicationNegotiation

Industry Keywords

Health PlanProvider Network StrategiesCross-Functional TeamsMedical Expense TargetsNorth Carolina Residency

About the role

Key responsibilities & impact

Lead teams assessing, developing, articulating, negotiating, implementing, overseeing, and managing complex enterprise and divisional innovative provider reimbursement initiatives
Lead contracting teams responsible for provider network strategies and negotiations
Drive and facilitate next-generation innovative global provider network opportunities
Recommend strategies, gain approval, and implement approved provider strategies through provider contract negotiations
Ensure effective use of Plan resources to administer approved strategies
Lead internal and external discussions regarding network providers and strategies
Collaborate with internal stakeholders to assign resources necessary to implement strategic network initiatives
Build collaborative relationships and lead direct provider negotiations with key providers, including academic medical centers and multispecialty professional providers
Lead development of feasibility models and forecasts for contracting strategy performance impacts
Develop strategy to ensure medical expense targets are met
Limited travel within North Carolina

Requirements

What you’ll need

Bachelor's or advanced degree where required (where required)
8+ Years of Experience
In lieu of degree, 10+ years' experience
Candidates for this role must live in NC
Prior people leader experience
Experience leading teams of 5-10
Experience managing contract dollars upwards of $5 billion
Executive level provider relationship experience
High-complexity provider contracting experience
Experience with various reimbursement models, including value and pay for performance models
Demonstrated understanding of financial modeling and cost of care impacts
Demonstrated experience working with cross functional teams within a health plan

Benefits

Comp & perks

Medical, dental, and vision coverage
Numerous health and wellness programs
Parental leave and support
Adoption and surrogacy assistance
Career development programs
Tuition reimbursement for continued education
401k match including an annual company contribution
Paid Time Off (PTO)
Annual Incentive Bonus
Work-life balance, flexibility, and autonomy
Hybrid Flex work arrangement