[Hiring] Senior Contracting Specialist @Ventra Health, Inc.

Role Description

We are seeking a Senior Contracting Specialist to join our Payer Strategy & Contracting team, reporting to the Manager, Payor Strategy & Contracting. This is a senior individual contributor role for a candidate with hands-on payer contracting experience — gained either on the payer side (health plan network management or contracting) or the provider side (medical group, IPA, hospital, or ancillary provider contracting). The Senior Contracting Specialist independently manages contract negotiation, analysis, and documentation for an assigned portfolio of provider clients and facilities on behalf of our clients, operating with a sense of urgency and comfort under pressure. This is a client-facing role responsible for resolving escalated client concerns related to payer contracts and reimbursement, while also serving as a resource to Contracting Specialists on the team.

Qualifications

• 5+ years of experience in managed care/payer contracting, gained on either the payer side (health plan contracting or network management) or the provider side (medical group, IPA, hospital, or ancillary provider contracting)
• Demonstrated experience negotiating payer agreements and interpreting contract language
• Working knowledge of reimbursement methodologies, including FFS, RBRVS, capitation, and value-based arrangements
• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent experience
• Experience on both the payer and provider sides of contracting (preferred)
• Familiarity with Medicaid, Medicare Advantage, and/or pediatric reimbursement structures (preferred)
• Experience mentoring or guiding junior contracting staff (preferred)
• Experience collaborating with offshore or distributed team members (preferred)
• AAHAM and/or HFMA certification (preferred)

Requirements

• Ability to operate under pressure and manage multiple concurrent negotiations with a strong sense of urgency
• Demonstrated experience operating in a client-facing capacity, with the ability to professionally manage and resolve escalated client concerns
• Proficiency with Excel, contract management systems (e.g., Ironclad or comparable platforms), and project management tools
• Working proficiency with company-approved AI tools (Claude, Microsoft Copilot) to support contract analysis, drafting, and workflow efficiency
• Strong written and verbal communication skills, with the ability to represent the organization credibly in payer-facing conversations
• High attention to detail in contract review, interpretation, and documentation

Benefits

• Eligible for Ventra performance-based incentive plan
• Referral bonus for referring friends