Remotely
network managementcontract negotiationvalue based carecmsdelegation
Job Description
📋 Description
- Own provider contracting strategy for Gravie’s health plan
- Lead value-based care contracting, including risk-based and shared savings models
- Draft and negotiate complex provider and vendor contracts and amendments
- Manage network delegation relationships and ensure compliance across markets
- Serve as product/tech lead for contracting and network systems
- Stand up new provider networks as Gravie expands into new markets
🎯 Requirements
- Bachelor's degree (or equivalent) and 8+ years in provider contracting or healthcare reimbursement
- 5+ years negotiating value-based care arrangements (risk-based and shared savings)
- 5+ years drafting and negotiating complex healthcare contracts and delegation agreements
- 5+ years leading network contracting strategy and managing provider/vendor relationships
- 3+ years managing delegated entities with audits and compliance
- 4+ years ensuring CMS/state regulation compliance and working with Product/Engineering on tooling
🎁 Benefits
- Health benefits, flexible PTO
- Up to 16 weeks paid parental leave
- 401k program
- Transportation perks and education reimbursement
- Paid holidays and 2 days of paid paw-ternity leave