Contracting & Provider Network Manager – Healthcare / MSO
Full-Time | Competitive Salary + Benefits
Human Compass Staffing is seeking an experienced healthcare contracting and provider network professional to lead payer and provider contracting initiatives across a growing healthcare organization. This leadership role is responsible for developing network strategies, negotiating complex agreements, maintaining payer relationships, and supporting organizational growth initiatives.
Key Responsibilities
- Lead negotiations and execution of provider, payer, hospital, ancillary, and vendor agreements.
- Develop and implement provider network expansion strategies.
- Manage relationships with health plans, IPAs, MSOs, medical groups, and healthcare partners.
- Analyze reimbursement methodologies, fee schedules, and contract performance.
- Ensure compliance with state and federal regulatory requirements, including CMS, DHCS, DMHC, and health plan standards.
- Collaborate with credentialing, operations, finance, and executive leadership teams.
- Monitor contract renewals, amendments, and terminations.
- Identify opportunities to improve reimbursement rates and network performance.
- Support delegated network management and value-based care initiatives.
Qualifications
- Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or related field.
- 5+ years of healthcare contracting, provider relations, network development, or managed care experience.
- Experience negotiating payer and provider agreements.
- Strong knowledge of Medicare, Medi-Cal, commercial health plans, and healthcare reimbursement models.
- Experience working with IPAs, MSOs, medical groups, health plans, or healthcare systems preferred.
- Exceptional negotiation, analytical, and relationship management skills.
- Proficiency with Microsoft Office and contract management systems.
Preferred Experience
- Delegated healthcare operations.
- Risk-based and value-based contracting.
- California managed care environment.
- Provider credentialing and network management.
Why Join Human Compass Staffing?
- Competitive compensation and comprehensive benefits package.
- Remote or hybrid work flexibility.
- Opportunity to play a key leadership role within a growing healthcare organization.
- Collaborative, mission-driven culture focused on improving patient access and provider success.