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Senior Provider Network Contracting (IL​/MO

Job in Joliet, Will County, Illinois, 60432, USA
Listing for: 4062 Aetna Resources, LLC
Full Time position
Listed on 2026-07-31
Job specializations:
  • Business
    Regulatory Compliance Specialist
Salary/Wage Range or Industry Benchmark: 67900 USD Yearly USD 67900.00 YEAR
Job Description & How to Apply Below
Position: Senior Provider Network Contracting (IL/MO)

Position Summary

Negotiates, executes, and analyzes contracts with larger and more complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. Handles dispute resolution and settlement negotiations, ensuring compliance with company standards and regulatory requirements.

Responsibilities
  • Leverages negotiation skills and knowledge of provider financial issues to optimize contracts.
  • Collaborates with large hospitals and health systems to achieve successful contracting outcomes.
  • Supports cost‑saving initiatives and growth of the provider network.
  • Conducts comprehensive reviews and analyses of provider contracts, identifying areas for improvement and optimization.
  • Ensures all provider contracts adhere to regulatory requirements.
  • Facilitates leadership, guidance, and mentorship to a team of professionals, setting strategic objectives and monitoring performance.
Required Qualifications
  • Minimum 7 years of experience contracting with providers within the healthcare industry.
  • Minimum 5 years of direct hospital contracting experience.
  • Experience with Commercial, Medicare, and Medicaid lines of business.
  • Adept at problem solving and decision making skills, based on data and trends.
  • Adept at collaboration and teamwork.
  • Growth mindset, execution and delivery skills, and business intelligence and communication skills across multiple levels of leadership.
  • Ability to travel within assigned territory if needed.
Preferred Qualifications
  • Strong understanding of the IL and MO market, including local payer and provider dynamics.
  • Hands‑on experience with value‑based contracting and alternative payment arrangements.
Education

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

Pay Range

The typical pay range for this role is: $67,900.00 – $. This range represents the base hourly rate or base annual full‑time salary and may vary based on experience, education, geography, and other factors. The position is eligible for bonus, commission, short‑term incentive, and equity award programs.

Benefits

Eligible for a comprehensive benefits package including medical, dental, vision, paid time off, retirement savings options, and wellness programs, based on eligibility. Additional details are provided during the application process.

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

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Position Requirements
10+ Years work experience
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