Senior Manager, Network Contracting Manager

About This Role

This individual contributor role involves negotiating, executing, and reviewing complex contracts with larger and more intricate market, regional, and national groups and systems. The Senior Manager will focus on contracting and implementing fee-for-service and value-based agreements with key physician groups, facilities, and ancillary providers to support commercial and individual exchange networks. The role also includes recruiting providers to meet network expansion and adequacy targets, managing cost arrangements, and collaborating cross-functionally to develop provider compensation and pricing strategies.

Responsibilities

• Lead end-to-end contract negotiations, execution, and analysis with a focus on hospital, physician groups, and smaller/local systems
• Manage contract performance and drive the development and implementation of value-based arrangements aligned with organizational strategy
• Identify, recruit, and onboard providers to meet network expansion and adequacy targets; accountable for delivering competitive and sustainable cost arrangements
• Partner cross-functionally to support provider compensation strategy, pricing development, and reimbursement modeling
• Analyze financial and operational data to identify cost-saving opportunities and execute initiatives that drive measurable impact
• Serve as a key representative of the organization with providers, customers, and community stakeholders, strengthening partnerships and collaboration
• Evaluate and contribute to provider network strategy, ensuring alignment with state requirements, product needs, and cost management objectives
• Optimize provider engagement and resolve complex escalations related to claims, contract interpretation, and provider data accuracy

Requirements

• 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups, including contract language development, rate proposal analysis, and identification of operational and financial improvement opportunities
• Demonstrated ability to leverage competitive market data, financial metrics, and detailed analysis to secure favorable contract outcomes
• 3+ years of experience in provider relationship management or related healthcare roles, with proven contract management expertise
• Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/contracting arrangements, and regulatory requirements
• Strong communication, critical thinking, problem resolution and interpersonal skills
• Candidates must reside in the state of Illinois
• Bachelor's degree preferred or a combination of professional work experience and education

Nice to have:

• Commercial, individual exchange and Medicare experience