At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.

Benefits include:

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

• Lead end-to-end negotiation and execution of hospital and hospital-based provider contracts, including renewals, amendments, and new agreements. Drafts contracts, amendments, and other provider communications.
  
  
• Develops and manages strategic relationships with hospital managed care leads and key stakeholders, influencing contract outcomes while balancing provider needs with Plan financial and operational priorities.
  
  

   

• Create and maintains positive provider/customer relations and coordinates with various departments (e.g. Clinical, Claims, Provider Services, Configuration) within the company to ensure provider issues, inquiries, and complaints are handled appropriately while balancing provider needs with Plan priorities.
  
  

• Actively participate in various cross-functional workgroups to understand and communicate the impact of any initiatives involving network management and hospital providers.

   
  
  
• Performs financial, utilization, and market analyses to support contract negotiations, reimbursement strategy, and network planning for hospitals and hospital-based providers.
  
  
• Supports departmental initiatives including network expansion, regulatory changes, and strategic projects.

• Bachelor’s Degree or equivalent.
• Minimum four (4) years of hospital contracting, payer/provider negotiation, or network management experience required.
• Familiarity with Managed Care, NYSDOH State and CMS federal regulations is preferred. Demonstrated experience negotiating reimbursement methodologies (e.g., DRG, per diem, case rates, carve-outs) strongly preferred. Financial analysis and Excel modeling skills required.
• Strong analytical, written and oral communication and presentation skills, as well as public speaking skills.
• Ability to multi-task, work in a fast-paced environment and with minimal supervision.
• Ability to develop and maintain client relationships.