Senior Contracting Specialist

Ventra Health

. Conduct contract negotiation discussions on behalf of clients with payers across fee-for-service and value-based contract models .

Posted 11/9/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Expertise in managed care and payer contracting, with a strong focus on negotiation, contract interpretation, and reimbursement methodologies. Proven ability to manage client relationships and operationalize contract terms effectively.

Highest-signal resume keywords

Managed Care ContractingPayer Agreement NegotiationReimbursement MethodologiesContract Management SystemsClient-Facing Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract NegotiationRate BenchmarkingFinancial Impact AnalysisPayer Performance AnalysisContract Language InterpretationAudit ReadinessKPI DevelopmentFinancial ModelingRe-ContractingValue-Based Arrangements

Soft Skills

Attention to DetailProblem SolvingClient Relationship ManagementAbility to Operate Under PressureStrong Communication Skills

Tools & Technologies

ExcelContract Management SystemsProject Management ToolsAI ToolsWorkflow Efficiency Tools

Industry Keywords

Healthcare AdministrationFee-For-ServiceRBRVSCapitationValue-Based ContractingPayer RelationsNetwork ManagementMedical Group ContractingIPA ContractingAncillary Provider Contracting

About the role

Key responsibilities & impact

Conduct contract negotiation discussions on behalf of clients with payers across fee-for-service and value-based contract models
Develop negotiation materials including rate benchmarking, reimbursement trend analysis, and financial impact summaries
Identify rate optimization opportunities and recommend contract structures that support improved rates
Review and interpret payer contract language across payer, medical group/IPA, and hospital/ancillary contexts
Maintain accurate documentation of payer contracts, amendments, fee schedules, and client communication logs
Serve as a subject-matter resource and informal mentor to Contracting Specialists
Partner with Revenue Cycle, AR, and Billing teams to operationalize contract terms in systems and workflows
Support translation of clinical program details into reimbursable contract terms
Identify and escalate discrepancies between contracted terms and actual payer performance
Assist in preparing contract terms for client and legal counsel review
Liaise with Legal, Finance, Service Delivery, and Client Success on contract-related matters
Provide the Manager with updates on contract status, risks, and negotiation progress
Support audit readiness and compliance with payer requirements
Serve as a client-facing point of contact for assigned accounts and resolve escalated concerns
Maintain relationships with payer contacts and represent the organization in payer meetings and operational reviews
Participate in client meetings and calls to support strategic initiatives
Track payer reimbursement trends, policy changes, and competitive dynamics
Analyze payer performance, denial trends, and payment variances
Support development of payer scorecards and KPIs
Contribute to financial models for contracting, re-contracting, and new market entry decisions

Requirements

What you’ll need

5+ years of experience in managed care/payer contracting, gained on either the payer side (health plan contracting or network management) or the provider side (medical group, IPA, hospital, or ancillary provider contracting)
Demonstrated experience negotiating payer agreements and interpreting contract language
Working knowledge of reimbursement methodologies, including FFS, RBRVS, capitation, and value-based arrangements
Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent experience
Ability to operate under pressure and manage multiple concurrent negotiations with a strong sense of urgency
Demonstrated experience operating in a client-facing capacity, with the ability to professionally manage and resolve escalated client concerns
Proficiency with Excel, contract management systems (e.g., Ironclad or comparable platforms), and project management tools
Working proficiency with company-approved AI tools (Claude, Microsoft Copilot) to support contract analysis, drafting, and workflow efficiency
Strong written and verbal communication skills, with the ability to represent the organization credibly in payer-facing conversations
High attention to detail in contract review, interpretation, and documentation

Benefits

Comp & perks

Ventra performance-based incentive plan
Discretionary incentive bonus in accordance with company policies
Referral bonus