Ancillary Contract Manager

Blue Cross and Blue Shield of Massachusetts, Inc.; Golden Horseshoe; Hybrid; USD 106,000 - 131,000; Full time

Job summary

Ein innovatives Unternehmen im Gesundheitswesen sucht einen Ancillary Contract Manager, der die Vertragsstrategie für ein Netzwerk von Anbietern entwickelt und umsetzt. In dieser spannenden Rolle sind Sie für die Verhandlung von Verträgen, die Zusammenarbeit mit verschiedenen Teams und die Verbesserung von Vertragsprozessen verantwortlich. Sie bringen Ihre Fähigkeiten in der Verhandlung und Projektmanagement ein, um die Qualität der Gesundheitsversorgung zu fördern und gleichzeitig die Kosten zu senken. Wenn Sie leidenschaftlich daran interessiert sind, die Gesundheitsversorgung zu transformieren und eine positive Wirkung zu erzielen, ist diese Position perfekt für Sie.

Benefits

Umfassendes Leistungspaket

401(k)

Bezahlte Freizeit

Versicherungsleistungen

Wohlfühlprogramme

Qualifications

• Erfahrung in der Entwicklung und Verhandlung von Anbieterverträgen.
• Kenntnisse über Gesundheitsreimbursement-Strategien.

Responsibilities

• Entwicklung und Verhandlung von Vertragsansätzen zur Maximierung der Wettbewerbsfähigkeit.
• Analyse und kontinuierliche Verbesserung der Anbietervertragsfunktionen.

Skills

Verhandlungskompetenz

Kenntnisse in der Gesundheitsversorgung

Projektmanagement

Kommunikationsfähigkeiten

Teamarbeit

Analytische Fähigkeiten

Education

Bachelorabschluss oder gleichwertige Berufserfahrung

High School Diplom oder gleichwertig

Tools

Excel-basierte Modellierungswerkzeuge

Job description

Ready to help us transform healthcare? Bring your true colors to blue.

What We Need

The Ancillary Contract Manager will assist in the development, management, and execution of the contracting strategy for assigned segments of the Blue Cross Blue Shield of Massachusetts ancillary provider network.

This role is eligible for our Flex persona.

Day to Day Responsibilities

• Develop and negotiate contracting approaches and methodologies to maximize Blue Cross's competitive position and support its strategic vision of making quality health care more affordable.
• Analyze, negotiate/renegotiate, implement, evaluate, and continuously improve provider contracting functions for a set of ancillary provider networks.
• Develop rate proposals to support contract negotiations using Excel-based modeling tools.
• Draft and negotiate contract language.
• Collaborate with clinical, financial, and legal teams during contract execution and proposal development.
• Respond to internal and external inquiries regarding provider contractual arrangements for both implementation and ongoing operations.
• Manage interdepartmental dependencies to ensure timely and accurate resolution of provider issues.
• Ensure accuracy of contract and rate proposals and their implementation.
• Encourage innovation and risk-taking.
• Maintain effective relationships with the provider community.

What You Bring

• Understanding of provider contract development and healthcare reimbursement strategies.
• Experience negotiating with providers, especially in clinical laboratories, home infusion therapy, and rehabilitation hospitals.
• Ability to influence, negotiate, and operate collaboratively within a team.
• Knowledge of current provider healthcare issues and trends.
• Excellent communication, presentation, project management, and planning skills.
• Ability to manage multiple priorities effectively.
• BS/BA degree or equivalent work experience.

#LI-Hybrid

Minimum Education Requirements

High school diploma or equivalent.

Location

Boston, Hingham

Time Type

Full-time

Salary Range: $106,920 - $130,680

The posted salary range reflects our good-faith estimate at the time of posting. Final pay will depend on relevant factors including education, experience, and organizational needs. The role is also eligible for variable pay and a comprehensive benefits package including paid time off, insurance, 401(k), and well-being benefits.

Why Blue Cross Blue Shield of MA?

We recognize that confidence gaps and imposter syndrome can hinder talented candidates. We encourage diverse voices and perspectives, believing that our differences drive innovation and success. We are committed to your development and fostering an inclusive workplace. Learn more about our culture and opportunities by visiting our company pages. If you're interested, join our Talent Community to stay informed about opportunities.

We value wellness and work/life balance as key to employee wellbeing. For more information, visit our 'How We Work' page.