Senior Provider Network Contracting Specialist in Remote, New Jersey at Genex Service LLC

Genex Service LLC
Senior Provider Network Contracting Specialist

US-NJ-Remote

Job ID: 26-19187
Type: Regular Full-Time
# of Openings: 1
Category: Product & Program Management
Mitchell International, Inc.

Overview

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

Responsibilities

This is fully remote position. Candidates located in NJ, NY, DE, and PA strongly preferred.

The Senior Provider Network Contracting Specialist is responsible for developing, negotiating, implementing, and maintaining provider contracts that support the organization's network strategy, cost management goals, and member access requirements.

The Senior Provider Network Contracting Specialist manages complex contract negotiations, analyzes financial and utilization data, supports network expansion initiatives, and provides guidance to junior team members. This position requires strong negotiation skills, healthcare industry knowledge, and the ability to balance provider relationships with organizational objectives.

• Lead negotiations for complex provider agreements, amendments, and renewals with hospitals, physician groups, ancillary providers, and other healthcare entities.
• Implement established reimbursement methodologies and contract terms aligned with organizational goals and market conditions.
• Evaluate and negotiate rates, and payment structures,
• Ensure contracts comply with organizational standards, regulatory requirements, and operational capabilities.
• Maintain positive provider relationships throughout the contracting process.
• Support network expansion, adequacy, and optimization strategies.
• Assist with provider terminations, transitions, and network restructuring efforts.

Qualifications

• Bachelor's dregree preferred
• 5+ years of experience negotiating contracts with hospitals, physician organizations, ancillary providers, and other healthcare entities.
• Demonstrated success managing complex negotiations and provider relationships.
• Experience analyzing financial and healthcare utilization data.
• Strong understanding of healthcare reimbursement methodologies and provider contracting practices.
• Knowledge of managed care, WC, auto, and commercial health plan operations.
• Excellent negotiation, relationship management.
• Strong analytical and financial modeling capabilities.
• Ability to interpret and apply contract language.
• Excellent written and verbal communication skills.
• Strong organizational and project management skills.
• Proficiency with Microsoft Office Suite, including Excel skills.
• Ability to manage multiple priorities in a fast-paced environment.

Benefits

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $70,000 - $105,000 annually, and will be based on a number of additional factors including skills, experience, and education.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

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$70000 - $105000 annually