Provider Contracting Manager
1900 Market St , 8th Floor Philadelphia, PA 19103 US
Job Description
What you’ll do:
- Lead contract negotiations with hospitals, physician groups, and ancillary providers
- Develop strategies that strengthen network competitiveness, reduce costs, and improve access
- Negotiate fee-for-service, value-based, and alternative payment arrangements
- Identify network gaps and recruit new providers
- Analyze contract performance and work with finance/actuarial teams on forecasting
- Ensure compliance with state, federal, and accreditation requirements
- Manage and mentor a team of contracting specialists and analysts
- Represent the organization in provider meetings, events, and forums
- Bachelor’s degree in Business, Healthcare Admin, Economics, or related field (Master’s a plus)
- 5–7+ years of experience in provider contracting, network development, or managed care
- Strong knowledge of reimbursement models (FFS, DRG, RBRVS, capitation, bundled payments, value-based care)
- Proven negotiation skills with complex provider organizations
- Strong financial modeling and analytical skills
- Excellent relationship-building, problem-solving, and communication skills
- Experience in Medicaid, Medicare Advantage, or ACA markets preferred
- Leadership or supervisory experience is a plus
You’ll be at the center of our provider strategy, driving network growth, cost savings, and value-based care initiatives — while making a real impact on member access and satisfaction.
Meet Your Recruiter
Alexa Scalzi
Co-Founder & Chief Revenue Officer
As a co-founder of Top Stack and Chief Revenue Officer, Alexa has over 20 years of experience building strong, meaningful connections that drive success for clients and candidates alike. Her role spans client development, marketing, and strategy, all of which focus on elevating relationships in the staffing industry.
Beyond her work, Alexa is passionate about elevating women into leadership; through mentorship, she helps them find their voices in business and establish a strong sense of purpose. Deeply involved in her community, Alexa is a member of Chief, serves on the board of the LifeCycle Wellness and Birth Center—which provides reproductive healthcare in the greater Philly area—and actively participates in the Jewish Federation of Philadelphia’s Women’s Leadership Development Program.
Alexa’s life and work are about creating lasting impact, from building trusted partnerships to advocating for women and families in her community. When she’s not working, she’s traveling, cooking, or spending quality time with her family—bringing the same energy and heart to her personal life as she does to her work.