What are the responsibilities and job description for the Manager, Hospital Contracting position at Actuary Company?
Lead/support the development, negotiation, management, and maintenance of provider contracts for hospital, and ancillary facilities across the payment spectrum.
Work with the Director on the fee-for-service (FFS) and value-based payment contracting initiatives, collaborating with payment evolution team to introduce the appropriate updated payment models (whether FFS or value based) and provider experience team to meet provider expectations. Lead/support complex negotiations and/or contracting arrangements which require developing a sound business strategy for the financial and legal terms required for contracting initiatives.
Responsible to work with Medical Economics and Actuary Department to draft provider rate proposals that adhere to Horizon’s unit cost trends and negotiate such proposals with hospital executives, physicians and ancillary providers directly.
We are a leading healthcare organization headquartered in New Jersey, managing a growing portfolio of healthcare properties and facilities throughout the state. As our footprint continues to expand, we are committed to strengthening enterprise-wide safety, resilience, and operational continuity.
In support of this growth, we are actively developing and enhancing advanced crisis management programs designed to protect our patients, employees, providers, visitors, and physical assets. These programs are structured to ensure rapid response, coordinated decision-making, and regulatory compliance across all locations during emergencies, disruptions, or high-impact events.
Our approach emphasizes preparedness, communication, and recovery—leveraging industry best practices, healthcare-specific risk mitigation, and continuous improvement to ensure we are ready to respond to both expected and emerging threats.
Salary : $100,000 - $150,000