Priority Health
Senior Provider Contracting Specialist
Priority Health, Southfield, Michigan, United States, 48076
Job Summary
This hybrid position requires working onsite two days per week. You will be the key contact and subject‑matter expert for all contract‑related activities—leading negotiations, managing contract lifecycles, and ensuring compliance while collaborating with stakeholders to drive strategic outcomes.
Essential Functions
Manage the contract development and negotiations process for provider network initiatives; enter and maintain current information in the internal contract repository and database.
Create and execute network development plans and deploy strategies to move providers to desired contract terms according to guidelines and standards.
Serve as the principal negotiator for all assigned contracts; conduct contract review meetings, develop reports on milestones and performance, and inform internal customers of progress.
Interface routinely with hospital, PHO, and PO leadership on an independent basis while navigating political sensitivities.
Work with stakeholders on negotiation decisions that affect legal, regulatory, cost target, payment and pricing methodologies; facilitate implementation with the PIM team.
Develop a customer‑focused, service‑based approach to stakeholder engagement, cultivating cross‑organizational relationships.
Represent contracting at external and joint operating committee meetings; oversee network expansion and physician recruitment within a geographic area as required.
Provide mentoring to less experienced team members and model customer‑service excellence.
Qualifications Required:
Bachelor’s degree or equivalent in business administration, health‑care administration, psychology, finance, or health and human services.
5 years of experience negotiating and managing contract lifecycles for payers or providers.
7 years of proven experience leading negotiations independently or heading a provider contracting team.
Experience in finance or contract management and knowledge of CMS and commercial pricing practices.
Preferred:
Master’s degree in a related field.
Experience working with legal staff.
Proficiency in best practices for contract negotiation tactics and strategies.
Working knowledge of antitrust laws.
Benefits
Comprehensive benefits package (medical, dental, vision, etc.).
On‑demand pay program powered by PayActiv.
Discounts directory with deals on restaurants, phone plans, spas, and more.
Optional identity‑theft protection, home and auto insurance, pet insurance.
Traditional and Roth retirement options with service contribution and match savings.
Eligibility for benefits depends on employment type and status.
Location & Employment Details Primary Location: Corewell Health Southfield Center – 26901 Beaumont Blvd, Southfield, MI. Employment type: Full‑time Shift: Day (U.S.) Weekly scheduled hours: 40 Hours of work: 8 a.m. – 5 p.m. Days worked: Monday–Friday
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug‑free workplace and specific vaccine requirements for onsite or hybrid roles. Reasonable accommodations are available for applicants with disabilities, pregnancy, or sincerely held religious beliefs.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, gender, pregnancy, sexual orientation, gender identity, veteran status, or any other legally protected category. We encourage individuals who share our commitment to equity and inclusion to apply.
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Essential Functions
Manage the contract development and negotiations process for provider network initiatives; enter and maintain current information in the internal contract repository and database.
Create and execute network development plans and deploy strategies to move providers to desired contract terms according to guidelines and standards.
Serve as the principal negotiator for all assigned contracts; conduct contract review meetings, develop reports on milestones and performance, and inform internal customers of progress.
Interface routinely with hospital, PHO, and PO leadership on an independent basis while navigating political sensitivities.
Work with stakeholders on negotiation decisions that affect legal, regulatory, cost target, payment and pricing methodologies; facilitate implementation with the PIM team.
Develop a customer‑focused, service‑based approach to stakeholder engagement, cultivating cross‑organizational relationships.
Represent contracting at external and joint operating committee meetings; oversee network expansion and physician recruitment within a geographic area as required.
Provide mentoring to less experienced team members and model customer‑service excellence.
Qualifications Required:
Bachelor’s degree or equivalent in business administration, health‑care administration, psychology, finance, or health and human services.
5 years of experience negotiating and managing contract lifecycles for payers or providers.
7 years of proven experience leading negotiations independently or heading a provider contracting team.
Experience in finance or contract management and knowledge of CMS and commercial pricing practices.
Preferred:
Master’s degree in a related field.
Experience working with legal staff.
Proficiency in best practices for contract negotiation tactics and strategies.
Working knowledge of antitrust laws.
Benefits
Comprehensive benefits package (medical, dental, vision, etc.).
On‑demand pay program powered by PayActiv.
Discounts directory with deals on restaurants, phone plans, spas, and more.
Optional identity‑theft protection, home and auto insurance, pet insurance.
Traditional and Roth retirement options with service contribution and match savings.
Eligibility for benefits depends on employment type and status.
Location & Employment Details Primary Location: Corewell Health Southfield Center – 26901 Beaumont Blvd, Southfield, MI. Employment type: Full‑time Shift: Day (U.S.) Weekly scheduled hours: 40 Hours of work: 8 a.m. – 5 p.m. Days worked: Monday–Friday
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug‑free workplace and specific vaccine requirements for onsite or hybrid roles. Reasonable accommodations are available for applicants with disabilities, pregnancy, or sincerely held religious beliefs.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, gender, pregnancy, sexual orientation, gender identity, veteran status, or any other legally protected category. We encourage individuals who share our commitment to equity and inclusion to apply.
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