Senior Hospital & Ancillary Network Contractor

Senior Hospital & Ancillary Network Contractor

Regency Plaza, 4643 S Ulster Street, Suite 700, Denver, Colorado, United States of America

Posted Wednesday, January 14, 2026 at 9:00 AM

The vision of Colorado Access is to have healthy communities transformed by the care that people want at a cost we can all afford. Our mission is to partner with communities and empower people through access to quality, affordable care.

Why should you consider a career with Colorado Access?

We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision, supported by our values and pillar by diversity, equity and inclusion.

• Find work/life balance:
  We offer PTO, floating holidays, nine company paid holidays, a hybrid work environment, an Employee Assistance Program and a 401K.
• Be a part of something bigger and make an impact:
  We serve the underserved and most vulnerable populations in our community through access to quality and affordable health care. No matter what you do for Colorado Access, you are impacting our community and making a difference.
• Sharpen your skills, learn, and grow:
  We support your continued development through tuition reimbursement, leadership training, promotion opportunities, performance evaluations, employee recognition, and a language pay stipend.

What you will do:

We are looking for a SENIOR HOSPITAL & ANCILLARY NETWORK CONTRACTOR who can help shape our vision and support our mission. Here is what the position will look like.

• Leads contracting interactions with prospective and existing hospital, facility, and ancillary providers, serves as the primary point of contact for all matters related to contract structure, reimbursement methodology, and contractual requirements.
• Escalates or coordinates with Leadership as appropriate.
• Builds and maintains constructive relationships with prospective and contracted providers to facilitate effective contract negotiations. Provides timely responses to inquiries regarding contract terms, reimbursement provisions, or related requirements.
• Negotiates hospital and ancillary provider agreements, including reimbursement provisions (e.g., percentage of Medicaid, percentage of Medicare, DRG, APC, percentage of charges, per diems case rates, outlier and stop loss provisions, implants, high-cost drugs, etc.), contract language, operational terms, and compliance requirements. Applies advanced negotiation strategies and collaborates with the Director to finalize language or resolve complex issues.
• Maintains expert-level knowledge of facility and ancillary reimbursement methodologies, regulatory requirements, and Colorado Access Marketplace agreement templates and operational processes to ensure that negotiated agreements are financially and legally sound, compliant, and administrable.
• Assesses hospital and ancillary network adequacy in partnership with the Director and Provider Recruitment and Maintenance staff identifying gaps in service coverage, facility type, geography, or capacity, and secures additional facility or ancillary contracts to meet Marketplace regulatory standards and organizational objectives.
• Oversee the full hospital and ancillary contracting lifecycle, including provider identification, contract negotiation, agreement execution, and internal implementation.
• Works closely with internal operational areas (e.g., Provider Network Services, Credentialing, Claims, Compliance) to promote consistent interpretation and execution of contract terms and to respond to and resolve operational or reimbursement questions / issues pertaining to those provisions.
• Engages relevant internal departments prior to proposing or accepting any non-standard agreement provisions.
• Ensures contract terms and updates are communicated to relevant internal departments, enabling accurate configuration, reimbursement setup, and operational…