Overview
Contract Manager Jobs in Florida, United States at SoTalent
Title: Contract Manager
Company: SoTalent
Location: Florida, United States
Job Title: Health Plan Provider Contracts Manager – Complex (FL Healthplan)
Location: FL, United States; Florida; Tampa, Florida; St. Petersburg, Florida; Miami, Florida; Orlando, Florida; Jacksonville, Florida
Type: Full Time
Our client is looking for a seasoned Network Contracting leader to provide strategic expertise in provider contracting and network development. This role plays a critical part in strengthening provider partnerships, ensuring network adequacy, and driving financial and operational performance across Medicaid and Medicare lines of business.
****Employee for this role must reside in the state of Florida****
Position Overview
This role focuses on negotiating and managing complex agreements with key provider organizations such as hospitals, independent physician associations, and behavioral health groups. The position supports value-based care initiatives, alternative reimbursement models, and long-term provider relationship management aligned with organizational goals.
Key Responsibilities
- Lead negotiations with complex and high-impact provider organizations to secure competitive, high‑quality, and sustainable network partnerships
- Develop, execute, and optimize value-based and alternative payment arrangements
- Analyze financial implications of contract terms and prepare justifications for executive review when exceptions are required
- Support network adequacy initiatives, escalation processes, delegation oversight, and joint operating committees
- Manage provider contracts within contract lifecycle management systems
- Partner with internal leadership to negotiate strategic hospital and physician group agreements aligned to performance targets
- Drive cost‑containment initiatives that positively influence medical cost performance
- Advise contracting teams on negotiation strategies and provider engagement best practices
- Maintain strong relationships with large and highly visible provider partners
- Assess contract language for regulatory and corporate compliance and collaborate with legal teams as needed
- Educate internal stakeholders on contractual terms, reimbursement methodologies, and provider arrangements
- Participate in strategic initiatives, cross‑functional committees, and special projects
- Mentor and support new and existing members of the contracting team
- Travel up to 30% within assigned regions as business needs require
Required Qualifications
- 5+ years of experience in provider network contracting with large specialty or multispecialty groups
- 3+ years of contract negotiation experience within a managed care environment
- Strong knowledge of provider reimbursement methodologies, including fee‑for‑service, capitation, risk arrangements, and value‑based models
- Experience working within Medicaid and Medicare programs
- Proven negotiation, relationship‑building, and stakeholder management skills
- Ability to navigate complex regulatory environments
- Strong analytical, organizational, and problem‑solving capabilities
- Excellent written and verbal communication skills
- Proficiency with Microsoft Office and contract management tools
Preferred Experience
- Contracting exposure with hospitals, integrated delivery systems, and ancillary providers
- Experience supporting government-sponsored healthcare programs, including Marketplace coverage
