Contract Negotiator V

Position Purpose:Identify, negotiate and manage high performing provider and vendor partnerships.

Key Details: The Contract Negotiator V delivers significant organizational value by leading complex provider negotiations, strengthening strategic partnerships, supporting affordability and network adequacy goals, and serving as a senior contracting expert. This role requires advanced negotiation, organizational, analytical, and presentation skills to effectively manage multiple strategic initiatives, communicate complex concepts to executive audiences, and drive business outcomes that enhance the performance and sustainability of the provider network. The team prefers a candidate that lives in TX.

• Negotiate vendor or provider contracts and manage implementations and ongoing relationships.
• Perform market research and analysis as directed.
• Define, initiate, and direct financial analyses and operational reporting for the assigned vendor and provider agreements.
• Lead, manage, and track ongoing financial and operational success of designated partnership.
• Develop and initiate corrective action plans or agreement modifications where necessary, coordinating with local health plans and other applicable internal teams.
• Initiate and lead meetings with health plans and corporate teams, including executive management, to review vendor and provider agreement performance data and scorecards, and partnership strategy.

Education/Experience:Bachelor’s degree in Computer Science, Finance or related field or equivalent experience. 8+ years of vendor and/or provider contract negotiations, contract analysis and/or modeling experience in health care or similar industry. Experience negotiating contracts with successful outcomes and measurable financial results. Experience with presenting and communicating negotiation strategies and results at senior levels. Experience with health care provider negotiations for pharmacy benefit management or managed care preferred.