Associate, Health System Contracting

Hi, we're the company. We're hiring a Health System Contracting Associate to join our Network Contracting team.

The company is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started the company in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

The Health System Contracting Associate helps develop and execute the company's network strategy by evaluating, negotiating, and managing partnerships with hospitals and health systems. You will combine financial analysis, strategic problem-solving, and relationship management to improve affordability, network access, and the member experience.

In this role, you will analyze provider performance, financial information, and market dynamics, develop negotiation strategies, support complex contract negotiations, and translate findings into clear recommendations for senior leaders. You will also partner across Network, Finance, Legal, Provider Operations, and other teams to implement agreements, resolve provider issues, and identify opportunities to strengthen the company's networks.

You will report into the Manager, Network Contracting.

Work Location: This is a remote position based in the field, open to candidates who reside: Georgia, North Carolina or South Carolina. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $87,188- $114,434 per year. You are also eligible for employee benefits, participation in the company's unlimited vacation program and annual performance bonuses.

Responsibilities

• Support the development and execution of market-level contracting strategies that advance the company's network adequacy, growth, affordability, and member-experience objectives.

• Analyze and evaluate provider economics, reimbursement arrangements, utilization, competitive dynamics, and contract performance.

• Translate complex financial and operational analyses into clear recommendations for negotiation strategy and contracting decisions.

• Prepare for and participate in negotiations with hospitals and health systems, including developing reimbursement rate models, contract positions, presentation materials, and scenario analyses.

• Negotiate and manage contracts with assigned healthcare providers, with guidance from senior team members, focusing on sustainable economics, clear terms, and compliance with organizational and regulatory requirements.

• Conduct comprehensive reviews of existing provider agreements to identify financial, operational, and contractual improvement opportunities.

• Manage cross-functional contracting workstreams from initial analysis through negotiation, execution, and implementation, proactively identifying risks and driving issues to resolution.

• Support improvements to contracting tools, policies, workflows, and performance reporting.

• Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.

• Compliance with all applicable laws and regulations

• Other duties as assigned

Requirements

• 3+ years of experience in healthcare client management, healthcare consulting, strategy and operations, healthcare contracting, healthcare finance, payer or provider operations, or a related analytical field.

• 2+ years of experience supporting analytical or strategic workstreams and developing recommendations for senior stakeholders.

• 1+ years experience analyzing complex financial or operational data and translating findings into actionable business recommendations.

• 1+ years experience navigating and organizing large data sets such as hospital price transparency reimbursement, claim files and provider rosters

• Experience supporting negotiations, commercial agreements, strategic partnerships, or other complex, cross-functional initiatives.

Bonus points

• Experience in healthcare, health insurance, hospital or health-system strategy, provider contracting, or reimbursement.

• Experience communicating with senior internal and external stakeholders

• Advanced proficiency in Excel or Google Sheets; experience with SQL or other analytical tools

• Associate’s degree or equivalent professional working experience.

This is an authentic the company job opportunity.

At the company, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: the company applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any the company applicant who requires reasonable accommodations during the application process should contact the company Benefits Team [link for members] to make the need for an accommodation known.

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