Provider Contract Manager

Capital Blue Cross

Provider Contract Manager at Capital Blue Cross leading strategic provider partnerships and negotiating contracts. Collaborating with internal teams on performance programs and innovative reimbursement models.

Posted 5/29/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesSeniorLead💰 $98,880 - $186,290 per yearWebsite

About the role

Key responsibilities & impact

Lead strategic provider partnerships to negotiate contracts
Execute contract negotiations and drive provider network strategy
Implement innovative reimbursement models
Ensure contracts meet regulatory, financial, and operational requirements
Collaborate across internal teams and support performance programs like STARS

Requirements

What you’ll need

8 years related work experience
5 years direct payer/provider negotiation experience
2 years operational experience with value-based programs preferred
Bachelor's Degree in business, finance, healthcare management, clinical/medical science, or a related field
Master’s degree preferred
Valid driver’s license and willingness to travel frequently within the service area

Benefits

Comp & perks

Medical, Dental & Vision coverage
Retirement Plan
Generous time off including Paid Time Off, Holidays, and Volunteer time off
Incentive Plan
Tuition Reimbursement

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

contract negotiationprovider network strategyreimbursement modelsregulatory compliancefinancial analysisoperational requirementsvalue-based programs

Soft Skills

leadershipcollaborationstrategic thinking