Senior Provider Network Contractor - Out of Network Provider Negotiations
Healthfirst
About this role
The Senior Provider Network Contractor is responsible for engaging out-of-network healthcare providers to secure in-network participation, focusing on reducing out-of-network spend and improving network access and adequacy. The role involves advanced negotiations, strategic provider engagement, and collaboration with internal teams to meet financial and access objectives.
Skills
Qualifications
About Healthfirst
healthfirst.orgHealthfirst is a not‑for‑profit health insurer focused on serving New Yorkers with a range of plans including Medicaid, Medicare Advantage, Child Health Plus, the Essential Plan, and individual & family coverage across New York City, Long Island, Westchester and nearby regions. The company emphasizes coordinated, community‑focused care through a large provider network, care management programs, preventive services, and support for social needs. Healthfirst provides member tools and customer support for plan selection and access to services, and runs quality and population‑health initiatives aimed at improving outcomes and reducing disparities.
Salary
$105k – $188k
per year