Strategic ACO Contract Manager

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Strategic ACO Contract Manager based in the United States. We are seeking a strategic, results-driven contracting professional to strengthen provider networks and advance value-based healthcare partnerships. In this remote role, you will lead complex contract negotiations and manage relationships with hospitals, physician groups, and other healthcare providers. You will develop contracting strategies that balance financial performance, quality outcomes, network adequacy, and affordability. Working across healthcare operations and provider partnerships, you will oversee the full contract lifecycle, from negotiation and execution to renewals, amendments, and ongoing performance monitoring. Your expertise in Accountable Care Organization (ACO) arrangements, financial modeling, and risk-based contracting will help create sustainable agreements that support organizational objectives and improve healthcare delivery. This opportunity is ideal for an experienced negotiator who combines analytical thinking with strong relationship-building and strategic problem-solving skills. \Contract Negotiation and Development: Negotiate, draft, and evaluate provider contracts, ensuring alignment with financial objectives, standard contract templates, reimbursement guidelines, and established process controls. Contract Lifecycle Management: Oversee contracts from initiation and negotiation through execution, monitoring, renewal, amendment, and closure, ensuring critical deadlines and contractual obligations are managed effectively. Contract Maintenance: Keep contract language, fee schedules, and reimbursement terms current with applicable medical policy changes and evolving reimbursement structures. Provider Relationship Management: Issue Resolution: Address provider concerns, manage contractual disputes, and facilitate effective resolutions that support long-term partnerships. Network Performance Evaluation: Assess provider and network performance to identify opportunities for improvement in cost efficiency, quality, stability, and service delivery. Network Development and Adequacy: Contribute to provider recruitment, network expansion, network adequacy initiatives, and provider-facing marketing activities. Develop and negotiate innovative contracting arrangements, including ACO and other value-based models, to support quality improvement and financial performance. Financial and Strategic Analysis: Evaluate complex financial arrangements, risk-based contracting structures, reimbursement methodologies, and operational implications to identify viable contracting solutions. Cross-Functional Collaboration: Work with relevant internal stakeholders to ensure contracts support business priorities, regulatory requirements, and effective provider network operations. Perform other duties as assigned to support network management and contracting objectives. Bachelor’s degree in a related field or equivalent relevant experience. Professional Experience: At least eight years of related work experience beyond the degree, with a strong background in healthcare contracting, provider relations, or health plan operations. Contract Negotiation Expertise: Experience in health plan operations, provider operations, or related healthcare environments. Strong understanding of provider contracting strategies, risk-based agreements, reimbursement structures, financial models, operational impacts, and data analytics. Financial Acumen: Strong financial, analytical, and problem-solving skills, with the ability to evaluate complex financial arrangements and healthcare quality programs. Legal and Contractual Understanding: Ability to interpret and assess legal documents, contractual language, and complex agreement structures. Relationship Management: Proven ability to build and maintain collaborative external relationships based on trust, credibility, and clear communication at all organizational levels. Strategic Thinking: Ability to evaluate multiple scenarios, anticipate challenges, develop creative contracting solutions, and recommend the most effective course of action. Adaptability: Flexibility and creativity in developing contracting terms that address changing business needs while supporting sustainable provider partnerships. Remote Work Eligibility: Must have a primary home address in one of the following eligible states: Work Authorization: Must be legally authorized to work in the United States at the time of application. Healthcare Coverage: Medical, dental, and vision benefits. Retirement Savings: 401(k) contributions. Paid Time Off: Paid time off and company holidays. Remote Flexibility: Remote work arrangement for eligible candidates residing in approved states \We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. The final decision and next steps (interviews, assessments) are managed by their internal team. Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR).