Sr. Manager, Contract (Remote)

tango manages the home health benefit for major insurance plans with a focus on Medicare Advantage and managed Medicaid members. We review home health care referrals for appropriateness, then set up services with multiple agencies to provide the care needed for patients. On an ongoing basis, we provide review and oversight of clinical care and determine further authorizations. Our delegation agreements often include credentialing home health agencies and paying home health claims.

tango is looking for an experienced healthcare contractor to act as our Senior Contract Manager. This role will report to the Regional Director of Contract Management and support the strategic growth and maintenance of our home health provider network. The Senior Contract Manager will lead complex negotiations, drive value-based arrangement (VBA) management, and recruit provider agencies to ensure network adequacy.

This position is pivotal in negotiating contracts, scaling net new provider networks across multiple geographies, and enhancing network performance through value-driven contracting, collaborative provider engagement, and innovative strategies aimed at securing favorable agreements to maximize profit margins.

Job Responsibilities

• Contract Negotiation and Management:
  • Lead the negotiation of fiscally responsible fee-for-service, episodic, PDGM and value-based contracts with language that aligns with Tango’s business model, payer agreements, and mission to provide high-quality home health and post-acute services.
  • Ensure provider contracts meet Tango’s compliance policies, Medicare guidelines, and State and Federal laws and regulations.
  • Negotiate and execute contract amendments, and renegotiation requests.
  • Manage complex contract negotiations to meet strategic network adequacy and growth objectives.
• Provider Recruitment and Network Adequacy:
  • Recruit and educate out-of-network providers on Tango’s business model to ensure alignment with internal and health plan network adequacy goals while expanding access in key markets.
  • Address network gaps proactively by targeting and onboarding providers to align with market needs.
  • Educate providers about Tango's value-based program, including qualifying metrics, performance expectations, and the pathways to earning incentives.
• Value-Based Arrangement Management:
  • Track, monitor, and manage value-based arrangements tied to provider contracts, in collaboration with Network Analyst, Finance and other internal teams.
  • Participate in the collaboration of developing strategies and reporting mechanisms for value-based performance, enabling providers to access real-time performance monitoring and insights.
  • Provide ongoing education to network agencies and internal teams on value-based metrics, performance expectations, and tango’s VB goals.
• Performance Monitoring and Reporting:
  • Develop, monitor, and report on key network performance indicators to support network optimization, recruitment, and adequacy.
  • Propose and execute strategies to improve network performance metrics and achieve Tango’s objectives.
  • Conduct quarterly performance reviews with contracted providers on contract compliance and address areas for improvement.
• Interdepartmental Collaboration and Support:
  • Partner cross-functionally with credentialing, provider specialists, finance, and other internal teams to ensure contracts are accurately loaded and maintained.
  • Provide expertise and guidance to internal teams on contract and value base-related matters.
  • Identify opportunities to enhance and streamline contracting processes.
• General Responsibilities:
  • Carry out network management assignments and other duties as directed by the management team.
  • Review and analyze contract terms, identifying potential risks and opportunities.
  • Provide oversight of Contract Administrators to support day-to-day administrative tasks, ensuring efficient and accurate contract management processes.

Ideal Candidate

• Proven expertise in value-driven payment concepts and VBA management.
• Extensive experience in navigating complex ancillary provider contract negotiations.
• Highly organized with strong written and verbal communication abilities.
• Exceptional interpersonal and relationship-building skills.
• Ability to build trust and rapport with partners and stakeholders, both externally and internally.
• Strong problem-solving skills with the ability to effectively address and resolve challenging situations.
• Eagerness to learn and adapt in a dynamic, fast-paced organization.
• Proficiency in Microsoft Excel and ability to analyze large datasets.
• In-depth understanding of value-based metrics, gap closures, and network adequacy strategies.
• Experience building, monitoring, and utilizing performance and VBA reports.
• Excellent organizational and time management skills.
• Meticulous attention to detail and a commitment to excellence.

Requirements:

• Educational Background:
  • Bachelor’s degree (BA/BS) required.
  • Master’s degree in business, healthcare management, or related field strongly preferred.
• Professional Experience:
  • Minimum of 4-5 years’ experience in ancillary provider contracting at a state level; experience at a multi-state level is highly desirable.
  • Comprehensive understanding of home health agency contract structures, with a proven track record of successful negotiation and management.
  • In-depth knowledge of Patient-Driven Groupings Model (PDGM) payment structures and their implications for home health care services.
  • Demonstrated experience implementing and managing alternative payment models (APMs) and value-based care arrangements, driving cost-efficiency and quality outcomes.
  • Extensive expertise in the credentialing processes for home health agencies, ensuring regulatory compliance and quality standards.
  • Extensive Medicare and Medicaid experience required.

• Technical Proficiency:
  • Strong working knowledge of contracting platforms, payment model analytics, and value-based care frameworks.
  • Familiarity with healthcare regulations, reimbursement mechanisms, and operational workflows within home health care settings.
• Personal Attributes:
  • Exceptional analytical and strategic thinking abilities to evaluate contracting opportunities and optimize financial performance.
  • Effective communication and negotiation skills to build and sustain partnerships with diverse stakeholders.
  • Strong organizational skills, with the ability to manage multiple complex projects in a fast-paced, dynamic environment.
• Preferred Qualifications:
  • Experience designing scalable contracting strategies across multi-state networks.
  • Knowledge of healthcare technology solutions to enhance contracting and provider network efficiency.
• Recruitment and Sales:
  • Minimum 2-3 years of experience with recruitment agencies and sales for health care network
  • Experience with Health Care sales for Home Health.

Job Type 

• Full-time - Remote (Inside The US).

tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.