Network Contract Manager
Network Contract Manager
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Job Description
WeCare Medical Specialty Group is seeking an experienced and highly motivated Network Contract Manager to lead and manage all aspects of payer and provider contracting credentialing coordination and network relationship development. The ideal candidate will possess deep knowledge of healthcare reimbursement models contract negotiation strategies and network optimization within a multi-specialty healthcare setting.
This position is remote and requires exceptional organizational analytical and communication skills. You will work closely with cross-functional teams including Credentialing Provider Relations Revenue Cycle Management (RCM) Compliance and executive leadership.
Key Responsibilities
Contract Management & Negotiation
Negotiate draft and manage contracts with health plans provider networks third-party administrators (TPAs) and strategic healthcare partners.
Analyze contract terms and reimbursement methodologies to ensure alignment with organizational goals.
Monitor compliance with contractual obligations and identify potential risks or areas of improvement.
Network Development
Identify opportunities for network expansion and optimization across targeted geographies and specialties.
Build and maintain strong relationships with healthcare providers and payer organizations.
Collaborate with Business Development and Credentialing teams to support rapid and scalable network growth.
Credentialing Coordination
Work alongside the Credentialing team to ensure providers meet network participation and credentialing requirements.
Support onboarding of new providers by facilitating contract execution and network setup.
Compliance & Reporting
Maintain up-to-date knowledge of industry regulations (e.g. CMS HIPAA ACA).
Generate contract-related reports and performance analytics for internal stakeholders.
Ensure adherence to legal financial and operational compliance standards.
Qualifications
Required:
U.S. Citizenship or Valid U.S. Work Permit (No sponsorship provided)
Bachelors degree in Business Administration Healthcare Management or related field
Minimum of 5 years of experience in healthcare network contracting preferably in a multi-specialty or outpatient setting
In-depth understanding of commercial and government payer models including Medicare and Medicaid
Proven success in contract negotiation and network strategy development
Proficiency with contract management systems and Microsoft Office Suite (Word Excel Outlook Teams)
Preferred:
Masters degree (MBA MHA MPH) or related field
Experience working with EMRs EHRs and revenue cycle platforms
Knowledge of multi-state provider network regulations and credentialing processes
Key Skills
Strategic negotiation and conflict resolution
Analytical thinking and financial acumen
Project management and organizational skills
Strong interpersonal and written communication
High attention to detail and deadline-driven
Ability to work independently and in a collaborative remote team environment.
Benefits
Competitive salary and annual performance bonuses
Comprehensive health dental and vision insurance
401(k) with employer matching
Paid time off (PTO) and paid holidays
Professional development and continuing education support
Work-from-home stipend and flexible scheduling
Employment Type
Full Time
