Provider Network Contracting Specialist in San Diego, California at Mitchell International

Mitchell International
Provider Network Contracting Specialist

US-CA-Remote

Job ID: 26-19154
Type: Regular Full-Time
# of Openings: 1
Category: Insurance & Administration
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 a remote position and can be located anywhere in the US. Must be willing to work 8am to 5pm PST timezone.

Contract Management & Negotiation:

• Negotiate, execute, and review contracts with diverse provider types (hospitals, physician groups, ASCs, SNFs, rehabilitation and long-term acute care facilities) ensuring alignment with company standards, compliance requirements, and financial objectives
• Conduct financial and operational analysis of contract terms, rate structures, and value-based arrangements to optimize network profitability and member access
• Independently manage complex negotiations involving multiple stakeholders; escalate strategically when needed

Network Development & Relationship Management:

• Build and maintain strategic relationships with facility leadership, physicians, and ancillary providers to support network growth and service line expansion
• Identify market gaps and opportunities to enhance provider networks; recommend new partnerships aligned with business goals
• Serve as primary contact for assigned providers; address concerns and resolve disputes to ensure contract compliance and satisfaction

Qualifications

• Bachelor's degree in Business, Healthcare Administration, Finance, or related field (or equivalent professional experience)
• 5+ years of direct experience in provider contracting, managed care network development, or health plan operations
• Proven negotiating skills in complex, multi-party contracting scenarios
• Strong financial acumen: ability to analyze rate structures, build financial models
• Expert proficiency in Microsoft Office (Excel, Word, PowerPoint); comfort learning proprietary contracting systems
• Excellent communication and interpersonal skills; ability to influence and build consensus across organizational levels

Preferred Qualifications:

• Workers' Compensation insurance and contracting experience
• Familiarity with healthcare compliance requirements (network adequacy, credentialing standards, regulatory reporting)
• Experience with contract management software or healthcare information systems
• Working knowledge of healthcare finance, actuarial analysis, or reimbursement modeling

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 $72,000 - $84,500 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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$72000 - $84500 annually