[Hiring] Provider Contractor I @Curana Health

Role Description

The Provider Contractor I is responsible for building and maintaining a Medicare-compliant provider network across assigned geographies. This role plays a critical part in ensuring access to care for our senior living residents by recruiting, contracting, and supporting physicians and ancillary healthcare providers in alignment with Curana's value-based care strategy.

Essential Duties & Responsibilities

• Recruit, contract, and maintain a Medicare-compliant provider network with a focus on physicians and ancillary healthcare providers within assigned geographies.
• Communicate contract terms, payment structures, and reimbursement rates clearly and accurately to prospective and existing network providers.
• Maintain up-to-date contracts and documentation within the department's tracking system.
• Align contracting activities with departmental and organizational strategy and operating objectives.
• Build and sustain productive, long-term relationships with provider partners.

Qualifications

• Solid understanding of the financial implications of contract terms, payment structures, and provider reimbursement rates.
• Demonstrated ability to work independently, exercise sound judgment, and seek guidance appropriately.
• Familiarity with managed care guidelines, procedures, and compliance requirements.
• Excellent written and verbal communication skills, with the ability to convey complex information clearly.
• Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment.
• Proficiency in Microsoft Office applications, particularly Word and Excel.
• Commitment to continuous process improvement and operational excellence.
• Willingness and ability to travel up to 30% of the time.

Requirements

• Bachelor's degree or equivalent combination of education and work experience.
• 2 to 5 years of experience negotiating and servicing managed care contracts with physicians and/or other healthcare providers.
• Experience contracting for Medicare Advantage plans strongly preferred.