Provider Contract Manager

Role Snapshot

Our Provider Contract Manager is responsible for negotiating, drafting, and managing agreements with independent providers, health systems, third-party networks, and vendors to ensure the delivery of quality healthcare services to plan members. This Provider Contract Manager will be required to the establish and maintain strong, mutually beneficial relationships with healthcare providers, vendor partners, and network organizations. They will develop contract terms, negotiate rates, manage contract renewals, and resolve disputes.

Salary Range
$85,000 ~ $110,000
The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.

Work Location
We offer remote work from Wisconsin

• Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI, 53713) will be expected to be able to be able to work Hybrid 2 days a week on a regular basis. Onsite work will be tailored for team cohesion, strategy, planning and collaboration.

How do I know this opportunity is right for me? If you:

• Have served as the primary point of contact for assigned providers, managing relationships to ensure satisfaction and effective communication.
• Can negotiate rates, reimbursement methodologies, and contract language with both new and existing providers to secure network agreements and ensure compliance with federal and state regulations.
• Enjoy analyzing, developing, and monitoring provider contract proposals and ongoing performance to ensure alignment with corporate goals and compliance with performance expectations related to cost, utilization, quality metrics, member satisfaction, and network adequacy
• Thrive when educating providers on relevant policy updates, available resources, and tools to enhance their experience with WPS.
• Like to collaborate cross-functionally to address provider and network inquiries and contribute to continuous process improvements.
• Can review and approve system configurations and network validations for specific agreements.
• Enjoy partnering with leadership to identify and implement innovative contracting strategies.
• Have managed and maintained strong business relationships with assigned providers; represent WPS in meetings with providers via phone, video, or in person, and participate in relevant community functions.
• Can lead or support cross-functional initiatives that align with and advance corporate objectives.
• Would like participating in internal workgroups and teams.

What will I gain from this role?

• Expanding or showcasing your skills in contract negotiation and relationship development.
• Gaining experience in the design and implementation of new contracting methodologies.
• Playing an integral role in supporting key initiatives that contribute to organizational success.
• Being a part of a dynamic team committed to maintaining a collaborative, innovative work culture.
• Working with a leader that trusts, values, and encourages individuals to excel and fosters career growth.
• Working in a continuous performance feedback environment.

Minimum Qualifications

• Bachelor's degree in a related field, or equivalent combination of education and relevant work experience.
• 5 or more years of experience in contracting, provider relations, or network development.
• Proven experience in contract negotiations.
• Strong critical thinking and analytical skills.
• Excellent communication skills with the ability to influence and build relationships across various stakeholders.

Preferred Qualifications

• Experience in contracting for healthcare services within a health plan network or for a health care provider organization.
• Experience working with a variety of healthcare reimbursement models for professional, facility and ancillary services.
• Familiar with the Wisconsin provider landscape.
• Strong experience using MS Excel and other Microsoft Office applications
• Ability to travel within the State of Wisconsin.

Remote Work Requirements

• High speed cable or fiber internet
• Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)
• Please review Remote Worker FAQs for additional information

Benefits

• Remote and hybrid work options available
• Performance bonus and/or merit increase opportunities
• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
• Competitive paid time off
• Health insurance, dental insurance, and telehealth services start DAY 1
• Professional and Leadership Development Programs
• Review additional benefits: (https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml)

Who We Are

WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.

Culture Drives Our Success

WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.

We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.

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