Texicare · 5 days ago
Contract Manager (Healthcare Provider Contracts)
Texicare is a mission-driven health affiliate of Texas Mutual, dedicated to improving healthcare access and affordability for Texans. They are seeking a Contract Manager responsible for negotiating and managing agreements with healthcare providers to maintain a competitive network and ensure seamless contract implementation.
Financial ServicesHealth InsuranceInsurance
Responsibilities
Develop, negotiate, and maintain provider contracts in alignment with organizational policies and financial guidelines
Manage provider relationships, ensuring contract terms are met and resolving service issues
Coordinate with internal teams (e.g., Legal, Operations, Medical Management) to support contract implementation and network integrity
Analyze financial, operational, and utilization data to assess contract performance and support strategic decisions
Ensure accurate and timely contract submissions, amendments, and renewals
Maintain comprehensive knowledge of plan products, policies, and market trends to guide provider engagement and contracting strategies
Support corporate initiatives, ensuring timely and cost-effective execution of projects and goals
Qualification
Required
A bachelor's degree or any equivalent combination of education, training, and experience
At least 2 years for an intermediate level or 4 years for a senior level candidate with experience in managed care contracting and negotiating experience or any equivalent combination of education, training, and experience
Experience in developing, managing and nurturing key provider relationships
Knowledge of various reimbursement methodologies, including incentive-based models preferred
An understanding and experience with managed care, and provider business models
A collaborative approach with proven ability to develop strong working relationships within a fast-paced organization
Customer centric and interpersonal skills are required
Demonstrates an ability to maneuver effectively in a changing environment
Adept in Practiced problem solving, decision-making, negotiating, contract language and financial acumen
Knowledge of Microsoft Office tools
Preferred
Public speaking and presentation skills to present terms and value propositions to physician groups and leadership
Basic financial modeling to understand how rate changes impact medical cost and network competitiveness
Contract language experience with reviewing redlines, understanding contract clauses at an intermediate level
Benefits
Automatic 4% employer contribution to retirement plan
401k plan with 100% match up to 6%
Flexible time off for vacation, illness, etc.
Nine paid holidays
Day one health, Rx, vision, and dental insurance
Life and disability insurance
Flexible spending account
Pet coverage and pet Rx discounts
Free identity theft protection
Free 2nd medical opinion service
Company
Texicare
Texicare offers level-funded health insurance plans to small businesses.
Funding
Current Stage
Early StageRecent News
2026-01-07
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