Strategic ACO Contract Manager

Medica

. Develop and maintain provider networks that achieve competitive geographic coverage, stability, unit-cost performance, and trend-management objectives .

Posted 10/23/2026full-timeRemote • United StatesSeniorLead💰 $100,300 - $150,465 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider network development and management, including contract negotiation and relationship building within health plan operations. Proficient in financial analysis, risk-based contracting, and compliance with reimbursement standards.

Highest-signal resume keywords

Provider Network DevelopmentContract NegotiationHealth Plan OperationsFinancial AnalysisRelationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract NegotiationValue-Based ArrangementsRisk-Based ContractingData AnalyticsFinancial ModelsOperational ImpactProvider Contracting StrategiesContract Lifecycle ManagementReimbursement StandardsMedical Policy Compliance

Soft Skills

Excellent Written SkillsExcellent Verbal SkillsPresentation SkillsStrategic ThinkingProblem-Solving Skills

Industry Keywords

Provider RelationsHealth Care ServicesProvider RecruitmentNetwork AdequacyCollaborative RelationshipsContract AmendmentsDispute ResolutionHealth Care ProductsComplex Financial ArrangementsTrust Building

About the role

Key responsibilities & impact

Develop and maintain provider networks that achieve competitive geographic coverage, stability, unit-cost performance, and trend-management objectives
Produce affordable and predictable networks for customers and business partners
Evaluate and negotiate provider contracts in compliance with company templates, reimbursement standards, and process controls
Establish and maintain relationships with hospital, physician, pharmacy, and ancillary providers
Ensure appropriate distribution of provider specialties within networks
Negotiate and draft provider contract terms aligned with financial goals and standard agreements
Manage contract renewals, amendments, critical dates, and the complete contract lifecycle
Maintain contractual language and fee schedules in line with medical policy changes and reimbursement structures
Manage provider relations, resolve issues, and lead dispute-resolution processes
Assess assigned network and provider performance and identify improvement opportunities
Support network adequacy, provider recruitment, and provider marketing activities
Perform other duties as assigned

Requirements

What you’ll need

Bachelor's degree or equivalent experience in related field
8 years of related work experience beyond degree
Experience negotiating contracts using Value-Based and ACO arrangements
Experience building relationships and establishing trust at all levels
Health plan operations and/or provider operations experience
Excellent written, verbal, and presentation skills
Proven record cultivating and maintaining effective, collaborative external relationships
Successful contract negotiation experience for health care services, providers, or health plans
Flexibility and creativity in developing effective contracting terms
Knowledge of provider contracting components and strategies, including risk-based contracting, financial models, operational impact, and data analytics
Understanding of complex financial arrangements and quality programs across health care products
Strong financial, analytical, and problem-solving skills
Understanding of legal documents
Strategic-thinking skills and ability to analyze complex scenarios
Primary home address within a state where Medica is registered as an employer: AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, or WI
Legally authorized to work in the United States; Medica does not offer work visa sponsorship

Benefits

Comp & perks

Competitive medical, dental, and vision benefits
Paid time off (PTO)
Holidays
Paid volunteer time off
401(k) contributions
Caregiver services
Incentive plan compensation may be available in addition to base salary