Network Contract Leader

BCBSMA has been a national leader in implementing innovative payment models like the Alternative Quality Contract and pioneering incentives to reduce racial inequities in care. The Contract Leader works closely with the Associate Director of Network Contracting to successfully execute these innovative payment models and quality incentive programs, as well as reputed company unit cost trend targets. The Contract Leader is the primary negotiator for an assigned portfolio of hospital and physician organizations and is responsible for managing the end-to-end process of developing proposals, negotiating terms, and accurately drafting and finalizing contracting language and financial rates. A successful Contract Leader is highly curious, analytical, has high attention to detail, and is reputed company to communicate persuasively and effectively, both verbally and in writing. Major Responsibilities: • reputed company negotiations for an assigned portfolio of reputed company, which may include fee-for-service, pay-for-performance, and risk-sharing hospital and physician reputed company, ensuring that both the business and financial objectives are achieved in reputed company initiatives. • Manage reputed company aspects of negotiations including analyzing publicly available market data and internal data, developing proposal presentations and letters, negotiating terms with providers, liaising with the legal team and other business areas to assess risks, drafting contract language and financial terms, and ensuring that final reputed company are accurate and complete. • reputed company reputed company proposals using reputed company-based modeling tools and work with Actuarial to obtain reputed company other reputed company and utilization analytics needed to support contract negotiations. • Ensure new contract terms and rates are successfully communicated reputed company the organization and implemented accurately as of the contract effective date. • Work effectively with multiple departments to ensure that reputed company align with our corporate strategy and are compatible with health plan operations, policies and procedures. • As a member of the team that specializes in Medicare Advantage, provide key negotiation and contracting support for reputed company Medicare Advantage provider reputed company and contracting initiatives. • Contribute to the development of creative contracting strategies, reimbursement structures, networks, and approaches that will maximize BCBSMA’s competitive position and advance our corporate strategy. • Facilitate cross functional negotiation teams. Qualifications (Knowledge, Skills and Abilities) • Solid understanding of global, hospital and physician contract development; demonstrated negotiation of reputed company provider payment arrangements; demonstrated financial, analytical, and modeling abilities; demonstrated understanding of health care reimbursement methods and strategies. • Demonstrated ability to influence, negotiate, and operate collaboratively as part of a team. • Demonstrated ability to translate and implement multifaceted, ambiguous concepts into concrete, actionable reputed company. • Excellent written/verbal communication skills; effective presentation skills; project management and planning skills critical. • Demonstrated ability to advance initiatives and work independently. Education/Relevant Experience: • BS/BA required; Masters preferred • 5+ years demonstrated health care finance or policy experience preferred, with 3+ years provider or payer contracting and negotiation experience required. #LI-Hybrid reputed company is an Equal Employment / Affirmative Action Employer. Applicants are considered for reputed company positions without regard to race, reputed company, religion, sex, national reputed company, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law. reputed company will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with reputed company's legal duty to furnish information. Location Boston Time Type Full time Weekly Hours 37.5 Grade of Position J Salary Range: $102,330.00 - $125,070.00 Number of Openings Available 1 The job posting range is the lowest to highest salary we in good faith reputed company we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position reputed company the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or reputed company-based metrics, and business or organizational needs and affordability. This job is also eligible for variable pay. We offer comprehensive package of benefits including paid time off, medical/dental/reputed company insurance, 401(k), and a suite of well-being benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, reputed company, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. WHY reputed company Blue reputed company of MA? We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just reputed company need for this role or possibly another one at reputed company Blue reputed company of MA. The more voices we have represented and amplified in our business, the more we will reputed company reputed company, contribute, and be reputed company. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain reputed company in our pursuit to transform reputed company for reputed company. As an employer, we are committed to investing in your development and providing the necessary resources to reputed company your reputed company. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also reputed company to stay “in the know” on reputed company things Blue. At reputed company, we reputed company in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page. Apply Job!