UNKNOWN

ADAPTED_NOW

Hiring Immediately for Roofing Subcontractors - Are you leading a skilled roofing crew looking for consistent, year-round work? Erie Home, a top industry leader, is seeking reliable roofing subcontractors.

Hiring Immediately for Roofing Subcontractors - Are you leading a skilled roofing crew looking for consistent, year-round work? Erie Home, a top industry leader, is seeking reliable roofing subcontractors. We’ve been ranked among the Top 10 on the Qualified Remodeler Top 500 list for consecutive years. Why Work with Erie Home? <ul><li>$2,000 Sign-On Bonus </li><li>Earning Potential: Up to $100,000 per year </li><li>Reliable Work: Full-time, year-round projects </li><li>Job Support: Detailed job packets provided </li><li>Weekly Pay: Direct deposits every week </li><li>No Material Costs or Dump Fees: We cover it all </li></ul>Requirements: <ul><li>General Liability Insurance </li><li>Workman's Compensation Insurance </li><li>EIN Letter </li><li>Current Contractor’s License (if required by your state) </li><li>Reliable vehicle, roofing tools, and equipment required for job completion. </li></ul>Let's elevate your roofing business together. Apply now! Erie Home is an equal opportunity employer and does not discriminate based on race, color, religion, sex, national origin, political affiliation, sexual orientation, marital status, disability, age, military service, or any other protected class. If you need a reasonable accommodation due to a disability, please contact Human Resources with your request and contact information.

Erie Home

Erie Home - Roofing Contractor

Insurance

Liability Insurance

Roofing

Appcast Exclusive 1

The Senior Provider Network Contractor is a highly specialized negotiator responsible for strategically engaging out-of-network healthcare providers and facilities to secure in-network participation at competitive, market-aligned rates for a health plan. Identify and prioritize high-cost, high-utilization, and strategically critical out-of-network providers and facilities based on claims data, network gaps, and regulatory network adequacy requirements.

YEAR

<div>The Senior Provider Network Contractor is a highly specialized negotiator responsible for strategically engaging out-of-network healthcare providers and facilities to secure in-network participation at competitive, market-aligned rates for a health plan. This role is focused on high-impact, complex negotiations intended to reduce out-of-network spend, improve network adequacy, and support affordability and access objectives. The contractor operates with a high degree of autonomy and serves as a subject-matter expert in provider reimbursement, market dynamics, and managed care contracting strategies.Core ResponsibilitiesStrategic Out-of-Network Provider Engagement<ul><li>Identify and prioritize high-cost, high-utilization, and strategically critical out-of-network providers and facilities based on claims data, network gaps, and regulatory network adequacy requirements.</li><li>Develop and execute targeted outreach strategies to engage providers with significant leverage or market influence.</li><li>Serve as the primary point of contact provider practice leadership</li><li>Articulate the health plan’s value proposition, network strategy, and long-term partnership opportunities to prospective in-network providers.</li></ul>Advanced Contract Negotiation & Rate Strategy<ul><li>Lead complex, high-stakes negotiations with out-of-network providers to achieve competitive reimbursement rates and favorable contract terms.</li><li>Apply advanced knowledge of reimbursement methodologies, including professional fee schedules, DRGs, APCs, per diems, case rates, and alternative payment models, as appropriate.</li><li>Leverage market intelligence, benchmarking data, and utilization analytics to support evidence-based negotiation strategies.</li><li>Structure agreements that balance provider market realities with the health plan’s financial targets, affordability goals, and regulatory constraints.</li><li>Negotiate contract provisions beyond rates, including escalation terms, termination clauses, value-based incentives, and operational requirements.</li></ul>Health Plan Integration & Stakeholder Alignment<ul><li>Partner closely with internal health plan teams, including Finance, Legal, Utilization Management and Operations to ensure alignment with enterprise objectives.</li><li>Provide expert guidance and recommendations to health plan leadership on negotiation strategy, market trends, and provider leverage dynamics.</li><li>Ensure smooth transition of executed agreements into contract management, credentialing, and claims systems.</li><li>Proactively identify and resolve barriers to provider participation and onboarding.</li></ul>Performance Management & Reporting<ul><li>Track and report measurable outcomes, including conversion of out-of-network providers to in-network status, negotiated rate improvements, and reductions in out-of-network spend.</li><li>Provide executive-level reporting on negotiation progress, financial impact, and network adequacy improvements.</li><li>Maintain thorough documentation of negotiation strategies, outcomes, and contractual terms.</li></ul>Required Expertise & Qualifications<ul><li>Bachelor’s degree required; advanced degree (MBA, MHA, JD) strongly preferred.</li><li>8–10+ years of progressive experience in managed care contracting and network negotiations within a health plan or comparable payer environment.</li><li>Proven track record of leading complex, high-value provider negotiations and securing favorable in-network agreements.</li><li>Deep expertise in healthcare reimbursement models, provider economics, and managed care regulatory frameworks.</li><li>Strong understanding of provider market consolidation, competitive dynamics, and leverage strategies.</li><li>Exceptional negotiation, influence, and executive-level communication skills.</li><li>Ability to operate independently with minimal oversight in a contractor or consulting capacity.</li></ul>Preferred Experience<ul><li>Experience negotiating with large health systems, academic medical centers, and highly specialized provider groups.</li><li>Demonstrated success reducing out-of-network spend through targeted contracting initiatives.</li><li>Familiarity with state and federal network adequacy requirements applicable to health plans (e.g., Medicaid, Medicare Advantage, Commercial).</li><li>Experience supporting or advising executive leadership on managed care strategy.</li></ul>Key Performance Indicators (KPIs)<ul><li>Reduction in out-of-network spend and achievement of targeted savings.</li><li>Number and strategic value of out-of-network providers converted to in-network status.</li><li>Improvement in network adequacy, access, and member disruption metrics.</li><li>Timeliness and effectiveness of contract execution and provider onboarding.</li></ul>WE ARE AN EQUAL OPPORTUNITY EMPLOYER.  HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services,  LLC.Know Your RightsAll hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst.  Healthfirst will never ask you for money during the recruitment or onboarding process.Hiring Range*:<ul><li>Greater New York City Area (NY, NJ, CT residents): $122,900 - $188,020</li><li>All Other Locations (within approved locations): $105,100 - $160,480</li></ul>As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.</div>

Healthfirst

Senior Provider Network Contractor - Out of Network Provider Negotiations

Healthfirst Jobs

Contractor Military jobs in Corona, NY on your radar? Find the best of them right here on Monster.

Contractor Military Jobs in Corona, NY

Erie Home

Healthfirst

Resume Resources