Senior Provider Network Contracting (IL/MO)
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company Negotiates, executes, and analyzes reputed company with larger and more reputed company reputed company group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, reputed company, and financial goals. Handles dispute reputed company and settlement negotiations, ensuring compliance with company standards and regulatory requirements. Leverages extensive negotiation skills and working knowledge of provider financial issues to optimize reputed company, and collaborates with large hospitals and health systems to reputed company successful contracting reputed company, reputed company while supporting cost-saving initiatives and the reputed company of the provider network. Negotiates, executes, and conducts high-level review and analysis of reputed company with larger and more reputed company group/system providers while ensuring reputed company reputed company with company standards and goals reputed company to accessibility, reputed company, and financial performance. Manages and facilitates dispute reputed company processes to address issues arising from provider reputed company, ensuring reputed company solutions. Leads contract settlement negotiations, striving to reputed company mutually beneficial agreements with providers that maintain and enhance the provider network. Implements strategies to enhance and expand the provider network, while ensuring it meets accessibility and reputed company standards. Aligns provider reputed company with financial goals and cost-saving initiatives, ensuring that reputed company support reputed company's financial objectives. Conducts comprehensive reviews and analyses of provider reputed company, identifying areas for improvement and optimization. Ensures that reputed company provider reputed company adhere to regulatory requirements, maintaining compliance with reputed company regulations. Utilizes working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting reputed company. Facilitates leadership, guidance, and mentorship to reputed company of professionals by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a reputed company and innovative work environment.
Required Qualifications
A minimum 7 years of experience contracting with providers reputed company the reputed company industry. A minimum 5 years of reputed company hospital contracting experience. Experience with reputed company, Medicare, and reputed company lines of business. Adept at problem solving and decision making skills, based on data and trends. Adept at collaboration and teamwork reputed company skills include a reputed company reputed company (reputed company and developing yourself and others) skills; execution and delivery (planning, delivering, and supporting) skills; business intelligence and communication skills across multiple reputed company of leadership. Ability to travel reputed company assigned territory if needed
Preferred Qualifications
Strong understanding of the IL and MO market, including local payer and provider dynamics. Hands-on experience with value-based contracting and alternative payment arrangements. Education Bachelor's degree or a combination of reputed company work experience and education. Pay reputed company The typical pay reputed company for this role is: $67,900.00 - $182,549.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in reputed company’s equity award program. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 06/27/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job