Insurance Contracting Manager

The Insurance Contracting Manager is responsible for overseeing the development, review, negotiation, implementation and maintenance of insurance-related contracts and provider agreements. This role helps ensure contracts comply with legal, regulatory and company standards while supporting operational efficiency and business goals. Based on general knowledge.

Key Responsibilities

• Manage the full contract lifecycle, including drafting, review, negotiation, execution, renewal and termination. Based on general knowledge.
• Oversee insurance, vendor, broker, carrier, provider or third-party administrator agreements, as applicable. Based on general knowledge.
• Partner with legal, compliance, finance, credentialing, operations and leadership teams to ensure contract accuracy and risk mitigation. Based on general knowledge.
• Track contract terms, reimbursement structures, obligations, deadlines and renewal dates. Based on general knowledge.
• Ensure contracts align with regulatory requirements, internal policies and industry standards. Based on general knowledge.
• Analyze contract language and recommend revisions to improve business terms and reduce risk. Based on general knowledge.
• Maintain contract records, documentation and reporting in contract management systems. Based on general knowledge.
• Monitor payer or partner performance against contractual requirements and service-level expectations. Based on general knowledge.
• Support audits, dispute resolution and issue escalation related to contractual matters. Based on general knowledge.
• Train and guide internal stakeholders on contract processes, policies and best practices. Based on general knowledge.

Qualifications

• Bachelor’s degree in business, healthcare administration, legal studies, finance or a related field preferred. Based on general knowledge.
• Several years of experience in contract management, insurance operations, provider relations or managed care. Based on general knowledge.
• Strong knowledge of contract terminology, compliance requirements and negotiation practices. Based on general knowledge.
• Experience working with insurance carriers, payers, providers or regulated service environments preferred. Based on general knowledge.
• Strong analytical, organizational and problem-solving skills. Based on general knowledge.
• Excellent written and verbal communication skills. Based on general knowledge.
• Proficiency with contract management software and Microsoft Office applications. Based on general knowledge.

Preferred Skills

• Contract negotiation and administration. Based on general knowledge.
• Regulatory and compliance awareness. Based on general knowledge.
• Risk assessment. Based on general knowledge.
• Data analysis and reporting. Based on general knowledge.
• Cross-functional collaboration. Based on general knowledge.
• Attention to detail and deadline management. Based on general knowledge.