Principal Consultant, System Contracting

CROSSFIRE GROUP LLC
Troy, MI, United States
15 days ago

Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Experience level
Experienced
Experience required
3 years minimum
Compensation
$107,000.0 - $154,000.0
Working hours
Regular working hours
Job source

Tech stack

Microsoft Word Microsoft Excel Data Analysis Microsoft PowerPoint

Job description

Our client, a leading healthcare organization, is seeking an experienced Principal Consultant, System Contracting to join its Managed Care Contracting team. This is a high-impact opportunity for a healthcare contracting professional who thrives on complex payer negotiations, value-based care strategies, and cross-functional leadership.

In this role, you will serve as a trusted subject matter expert, leading strategic payer contracting initiatives, developing financial models and analytics, and partnering with executive leadership to strengthen payer relationships and improve organizational performance.

What You’ll Do

  • Lead complex payer negotiations, including fee-for-service and value-based reimbursement agreements.
  • Manage strategic, cross-functional projects that support organizational priorities.
  • Analyze contract performance and financial outcomes to develop negotiation strategies.
  • Serve as the organization’s expert on payer contract terms, reimbursement methodologies, and value-based contracting models.
  • Partner with Finance, Revenue Cycle, Analytics, Reimbursement, Primary Care, and other operational leaders to drive strategic initiatives.
  • Develop executive-level presentations and recommendations based on financial and operational analysis.
  • Manage multiple high-priority projects while meeting critical deadlines.
  • Provide consultation and education to internal stakeholders regarding payer contracting strategies and reimbursement models.

Requirements

  • Bachelor’s degree in Accounting, Finance, or a related field (Master’s degree preferred)
  • 10+ years of healthcare industry experience
  • 7+ years of payer contracting experience
  • At least 3 years of experience negotiating and managing value-based reimbursement contracts
  • Strong project management experience leading complex initiatives
  • Excellent negotiation, communication, and presentation skills
  • Strong analytical and financial modeling abilities
  • Understanding of healthcare reimbursement, insurance operations, legal, and business principles
  • Advanced proficiency with Microsoft Excel, Word, and PowerPoint

Benefits & conditions

3.43.4 out of 5 stars Troy, MI 48083 $107,000 - $154,000 a year, * Competitive salary of $107,000-$154,000, based on experience

  • Direct hire opportunity with a respected healthcare organization
  • Opportunity to influence enterprise-wide contracting strategy
  • High visibility with executive leadership
  • Collaborative, mission-driven culture
  • Meaningful work supporting innovative healthcare delivery and value-based care initiatives

Apply for this position

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