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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in commercial managed care contracting, including negotiation, provider relationship management, and contract performance analysis. Proficient in navigating reimbursement methodologies and maintaining compliance with contract terms in the healthcare sector.
Highest-signal resume keywords
Commercial Managed Care ContractingProvider Relationship ManagementContract NegotiationFinancial AcumenReimbursement Methodologies
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract Language ExperienceFinancial Modeling SkillsData AnalysisContract ImplementationUtilization Data Assessment
Soft Skills
Problem-SolvingDecision-MakingInterpersonal SkillsCustomer-Centric ApproachPublic Speaking
Tools & Technologies
Microsoft Office
Industry Keywords
HealthcareProvider Business ModelsIncentive-Based ModelsContract AmendmentsMarket Trends
About the role
Key responsibilities & impact- Develop, negotiate, and maintain commercial provider contracts
- Manage provider relationships and ensure contract terms are met
- Resolve provider service issues
- Coordinate with Legal, Operations, and Medical Management teams on contract implementation and network integrity
- Analyze financial, operational, and utilization data to assess contract performance
- Support strategic contracting decisions
- Ensure accurate and timely contract submissions, amendments, and renewals
- Maintain knowledge of plan products, policies, and market trends
- Guide provider engagement and contracting strategies
- Support corporate initiatives and related projects through timely, cost-effective execution
Requirements
What you’ll need- A bachelor’s degree or any equivalent combination of education, training, and experience
- At least 4 years of experience in commercial managed care contracting and negotiating experience or any equivalent combination of education, training, and experience
- Experience in developing, managing and nurturing key provider relationships
- Knowledge of various reimbursement methodologies, including incentive-based models preferred
- Understanding and experience with managed care and provider business models in the commercial healthcare space
- Proven ability to develop strong working relationships within a fast-paced organization
- Customer-centric and interpersonal skills
- Ability to maneuver effectively in a changing environment
- Problem-solving, decision-making, negotiating, contract language and financial acumen
- Knowledge of Microsoft Office tools
- Public speaking and presentation skills preferred
- Basic financial modeling skills preferred
- Contract language experience, including reviewing redlines and understanding contract clauses at an intermediate level, preferred
- Must reside in Texas
Benefits
Comp & perks- Automatic 4% employer contribution to retirement plan
- 401k plan with 100% match up to 6%
- Flexible time off for vacation, illness, etc.
- Nine paid holidays
- Day one health, Rx, vision, and dental insurance
- Life and disability insurance
- Flexible spending account
- Pet coverage and pet Rx discounts
- Free identity theft protection
- Free 2nd medical opinion service
- Flexible/hybrid work environment
- Remote work within Texas for employees outside the greater Austin area
- Occasional travel to Austin as needed