Description

How You Will Contribute

Provider Contracting & Relationship Management

• Lead complex negotiations with prospective and existing providers to achieve cost, quality, access, and performance objectives.
• Serve as a senior point of contact for managed providers, guiding contract interpretation, implementation, and ongoing relationship management.
• Oversee execution and maintenance of provider agreements that incorporate advanced value-based payment methodologies, including total cost of care, shared savings, and performance metrics.
• Ensure provider agreements align with organizational strategy, reimbursement intent, and operational execution.

Strategic Contracting, Complexity Management & Market Leadership

• Define and articulate the strategic importance of managing complexity in provider contracting, reimbursement design, and market decision-making.
• Integrate complex information across the organization to inform high-impact strategic contracting decisions.
• Leverage sophisticated analytical frameworks to interpret multifaceted financial, operational, and performance data.
• Identify systemic issues and strategic opportunities within complex healthcare environments, leading coordinated organizational responses.
• Engage senior leaders and external stakeholders to collaboratively navigate complex challenges and advance strategic initiatives.
• Represent The Alliance in high-stakes provider, employer, and community discussions, offering insights grounded in comprehensive analysis.
• Inspire innovative problem-solving approaches that embrace complexity, uncertainty, and continuous improvement.

Nimble Learning, Experimentation & Continuous Improvement

• Apply a structured, disciplined approach to experimentation in contracting strategies, reimbursement models, and provider engagement.
• Use both successes and failures as meaningful data points to refine strategies and improve outcomes.
• Analyze patterns from prior initiatives and experiments to inform future decisions and anticipate impacts.
• Regularly engage in iterative cycles of learning, making targeted adjustments to enhance performance and results.
• Demonstrate resilience, flexibility, and adaptability when responding to evolving market dynamics and organizational priorities.
• Share lessons learned across teams and mentor others in using experimentation and learning as tools for growth and innovation.

Collaboration, Influence & Communication

• Partner closely with Business Development to align provider contracting strategies with employer value propositions and participate in employer-facing discussions as needed.
• Build and sustain strong relationships with providers, employers, brokers, and community partners to support market credibility and strategic alignment.
• Synthesize market intelligence and performance insights to strengthen The Alliance’s provider value proposition.
• Represent The Alliance in regional healthcare forums, provider meetings, and community events, serving as a trusted senior leader and ambassador.

Requirements

Your Qualifications

• Bachelor’s degree (B.A. or B.S.) in a relevant field, or an equivalent combination of education and experience.
• Minimum of 5 years of progressive experience in healthcare, insurance, or provider contracting, with demonstrated senior-level responsibility.
• Advanced expertise in reimbursement methodologies, including Medicare-based contracting, capitation, total cost of care, and value-based payment models.
• Proven success leading complex provider negotiations and managing high-impact provider relationships.
• Expert-level capability in managing complexity across multiple markets, stakeholders, and contracting models.
• Advanced financial acumen, including experience developing and interpreting financial models, proformas, and performance metrics to inform contracting decisions.
• Strong understanding of hospital systems, physician organizations, and healthcare delivery structures.
• Advanced communication, decision-making, and accountability skills, with the ability to build trust and influence senior provider and employer stakeholders.
• Proficiency in Microsoft Office tools, including Word, Excel, and database applications.

Stand-Out From the Crowd Qualifications

• Experience leading regional provider network strategies or market-based contracting initiatives.
• Demonstrated ability to operate as a strategic thought partner to executive leaders.
• Demonstrated agility and nimble learning in evolving reimbursement, market, and organizational environments.

Physical Aspects of the Job

• Prolonged periods of sitting, working on a computer, and participating in virtual and in-person meetings.
• Frequent use of hands and fingers for documentation, data analysis, and communication.
• Ability to communicate clearly and effectively in person, virtually, and in writing.
• Occasional lifting or carrying of materials up to 10 pounds.
• Regular regional travel required for provider meetings, employer presentations, and community engagement.

Summary

What to Know about the Job

The Senior Contracting & Provider Relations Manager plays a critical role in advancing The Alliance’s mission to improve healthcare value for employers. This role leads complex provider contracting efforts in designated markets, advances value-based reimbursement strategies, and cultivates trusted, long-term provider relationships.

The position operates with a high degree of autonomy and judgment, applying advanced expertise in healthcare reimbursement, provider economics, and value-based care models to support network development, transparency, affordability, and performance improvement.

Who We Are

At The Alliance, our mission is helping employers self-fund smart. We serve as the voice for self-funded employers who want more control over their healthcare costs and who believe that affordable, high-quality care should be accessible to everyone.

Why Work at The Alliance?

Along with the satisfaction you’ll receive from working with a mission-driven organization, you’ll join a humble, lively, and hard-working group of people. The Alliance is home to a highly collaborative, creative, and dedicated bunch; you’ll feel our warm friendliness, be fueled by our inspiring passion, and find support from us when you need it, too.

Bachelor's degree in relevant field or equivalent; 5+ years progressive healthcare/insurance/provider contracting experience; advanced reimbursement expertise; proven negotiation success; financial acumen; Microsoft Office proficiency; regular regional travel.

Key Responsibilities

• leading negotiations
• managing relationships
• developing strategies

Skills & Tools

Microsoft Word, Microsoft Excel, database applications

Job Details

• Category: Business Operations
• Seniority: Senior Level
• Commitment: Full Time
• Workplace: Remote — Wisconsin, United States
• Salary: USD 118,000 – 122,000 / year
• Languages: English

About The Alliance

A mission-driven organization helping self-funded employers improve healthcare value. — Industry: Healthcare