Senior Contract Manager (Healthcare Provider Contracts)

Hybrid (Texas, US)Hybridsenior

OtherManager

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Quick Summary

Overview

About Texicare Founded in 2023 as a mission-driven health affiliate of Texas Mutual, Texicare was created by a group of seasoned healthcare professionals, and is headquartered in Austin, Texas.

Technical Tools

OtherManager

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

~1 min read

A bachelor’s degree or any equivalent combination of education, training, and experience.

At least 4 years of experience in commercial 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 in the commercial healthcare space.

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

Public speaking and presentation skills to present terms and value propositions to physician groups and leadership
Basic financial modeling to understand how rate changes impact medical cost and network competitiveness
Contract language experience with reviewing redlines, understanding contract clauses at an intermediate level.