Job Description Summary

Lead/support the development, negotiation, management, and maintenance of provider contracts for physician organizations, hospital, and ancillary facilities across the payment spectrum for HCS’ workers compensation/PIP network. Lead/support complex negotiations and/or contracting arrangements which require developing a sound business strategy for the financial and legal terms required for contracting initiatives.

Responsible to work with Senior Leadership and Data Analytics to draft provider rate proposals that adhere to HCS’s unit cost guidelines and negotiate such proposals with hospital executives, physicians and ancillary providers directly. Contributes to drafting hospital, professional and ancillary contract terms to ensure they conform with all regulatory, accreditation and business requirements while advancing HCS’s strategic and business objectives.

This manager should have a demonstrated track record of creating, dev...