Negotiation Manager - PA, OH, WV, and Delaware

Position Summary

This is an individual contributor role that negotiates, executes, reviews, and analyzes contracts and handles dispute resolution and settlement negotiations with smaller providers (e.g., local, individual providers, small groups/systems) while servicing larger provider partners in accordance with company standards. The role supports maintaining and enhancing provider networks to meet and exceed accessibility, compliance, quality, and financial goals and cost initiatives.

• Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers.
• Manages contract performance to support network quality, availability, and financial goals and strategies.
• Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
• Collaborates cross‑functionally to contribute to provider compensation and pricing development activities, submit contractual information, and review and analyze reports as part of negotiation and reimbursement modeling activities.
• Identifies and recommends cost‑management strategies and supports cost‑saving initiatives and/or settlement activities.
• Provides network development, maintenance, and refinement activities and strategies in support of cross‑market network management units.
• Assists with the design, development, management, and implementation of strategic network configurations, including integration activities.
• Optimizes interaction with assigned providers and internal business partners to manage relationships and ensure provider needs are met.
• Ensures resolution of escalated issues related to claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.

• Minimum of 5 years of experience negotiating contracts with ancillary providers, facilities, and physician groups, including contract language, development and analysis of rate proposals, identifying operational and financial improvement opportunities, and collection and analysis of competitive data and key financial metrics.
• 3+ years of experience in provider relationship management or related healthcare roles, with proven and proficient contract management skills.
• Understanding of common contract provisions, provider reimbursement methodologies and terms, and industry standard payment policies and practices.
• Understanding of provider financial issues, regulatory requirements, and competitor strategies.
• High proficiency with Microsoft Office suite applications (e.g., Outlook, Word, Excel).
• Ability to build collaborative relationships with providers and work cross‑functionally to resolve complex provider contract issues.
• Highly organized and able to manage and prioritize multiple negotiations, issues, and tasks to ensure completion and meet deadlines.

• Experience with Commercial and Medicare lines of business.
• Candidates located in Pennsylvania, Ohio, West Virginia, and Delaware are strongly preferred.

Candidates located in Pennsylvania, Ohio, West Virginia, and Delaware are strongly preferred.

Bachelor’s degree preferred or a combination of professional work experience and education.

The typical pay range for this role is: $60,300.00 - $. This pay range represents the base hourly rate or base annual full‑time salary for all positions in the job grade within which this position falls.

Eligible for a comprehensive benefits package that includes medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

The application window for this opening will close on: 08/18/2026.