Hybrid Contract Manager – Healthcare Provider Contracts

Posted 24 minutes ago

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About the role

  • Contract Manager at Texicare responsible for negotiating and managing agreements with healthcare providers. Building and maintaining a high-quality, cost-effective network for Texicare's healthcare plans.

Responsibilities

  • Develop, negotiate, and maintain provider contracts in alignment with organizational policies and financial guidelines.
  • Manage provider relationships, ensuring contract terms are met and resolving service issues.
  • Coordinate with internal teams (e.g., Legal, Operations, Medical Management) to support contract implementation and network integrity.
  • Analyze financial, operational, and utilization data to assess contract performance and support strategic decisions.
  • Ensure accurate and timely contract submissions, amendments, and renewals.
  • Maintain comprehensive knowledge of plan products, policies, and market trends to guide provider engagement and contracting strategies.
  • Support corporate initiatives, ensuring timely and cost-effective execution of projects and goals.

Requirements

  • A bachelor’s degree or any equivalent combination of education, training, and experience.
  • At least 2 years for an intermediate level or 4 years for a senior level candidate with experience in 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.
  • An understanding and experience with managed care, and provider business models.
  • A collaborative approach with proven ability to develop strong working relationships within a fast-paced organization.
  • Customer centric and interpersonal skills are required.
  • Demonstrates an ability to maneuver effectively in a changing environment.
  • Adept in Practiced problem solving, decision-making, negotiating, contract language and financial acumen.
  • Knowledge of Microsoft Office tools

Benefits

  • 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

Job title

Contract Manager – Healthcare Provider Contracts

Job type

Experience level

JuniorMid level

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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