Blue Cross Blue Shield Of Massachusetts
Healthcare
Sr.ContractManager
“Sr. Contract Manager at Blue Cross Blue Shield Of Massachusetts. Skills: primary negotiator, end-to-end process of developing proposals, negotiating terms, accurately drafting and finalizing contracting language and financial rates. Lead negotiations for an assigned portfolio of contracts, which may include fee-for-service, pay-for-performance, and risk-sharing hospital and physician contracts, ensuring that both the business and financial objectives are achieved in all initiatives.. Manage all ”
What You'll Achieve.
achieve unit cost trend targets; ensuring that both the business and financial objectives are achieved in all initiatives; advance our corporate strategy
Industry & Context.
analytical; strategic problem-solver
What They're Looking For.
Must Have
7+ years demonstrated health care finance or policy experience, 5+ years provider or payer contracting and negotiation experience, demonstrated financial, analytic and modeling value-based care experience, substantial negotiations, strategic problem-solver, consensus ability, ability to effectively influence and interact effectively at all levels, team builder
Nice to Have
Masters preferred, CFA charterholder preferred
What You'll Do.
Lead negotiations for an assigned portfolio of contracts
which may include fee-for-service
and risk-sharing hospital and physician contracts
ensuring that both the business and financial objectives are achieved in all initiatives.
Manage all 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 contracts are accurate and complete.
Develop rate proposals using Excel-based modeling tools and work with Actuarial to obtain all other rate and utilization analytics needed to support contract negotiations.
Ensure new contract terms and rates are successfully communicated within the organization and implemented accurately as of the contract effective date.
Work effectively with multiple departments to ensure that contracts align with our corporate strategy and are compatible with health plan operations
policies and procedures.
Contribute to the development of creative contracting strategies
reimbursement structures
and approaches that will maximize BCBSMA’s competitive position and advance our corporate strategy.
Facilitate and lead cross functional negotiation teams.
How You'll Work.
Team & Collaboration
liaising with the legal team and other business areas; Work effectively with multiple departments; Facilitate and lead cross functional negotiation teams; operate collaboratively as part of a team; interact effectively at all levels; team builder
Communication Scope
communicate persuasively and effectively, both verbally and in writing; Excellent written/verbal communication; effective presentation
Process & Methodology
planning skills
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