Senior Manager, Network Contract Analytics

P32HS Point32Health Services Inc; Massachusetts; Hybrid; USD 134,000 - 201,000; Full time

Job summary

Point32Health is seeking a Senior Manager to lead the analytic support of contract negotiations, strategic initiatives and regulatory requests within the Contracting team. This role will manage staff and provide training and mentoring to all team members.

The Senior Manager will directly support complex analyses related to negotiations and provider contracts, and actively participate in external provider meetings with Contract Managers.

Responsibilities

• Manages analysts in design and execution of complex analyses to measure the financial impact of provider contracts and payment changes.
• Maintains broad, comprehensive knowledge and understanding of provider contractual arrangements including value based reimbursement mechanisms and key cost and utilization performance drivers.
• Responsible for the submission of regulatory requests.
• Coordinates and oversees the annual re-contracting of the provider network for commercial business.
• Works with other departments, including Network Contracting, Provider Analytics, Accounting, Trends and Reserving to ensure open communication relating to provider risk deals.
• Proactively leads team to identify opportunities to improve Point32Health’s financial position through enhanced payment arrangements.
• Manages the development and enhancement of department tools to aid in standard department work.
• Coordinates quarterly team review of provider performance assessment.Works with analytic staff to evaluate and recommend new and innovative financial models and processes.
• Actively participates in external provider meetings with Network Contracting staff.
• Manages the costing of services for the network to assist Actuarial with product pricing.
• Recruit, train, develop, and evaluates staff performance.
• Manages the workload of team, meeting both high quality standards and customer timelines.
• Supports Sales RFPs as appropriate.
• Other duties and projects as needed.

Job description

Point32Health is seeking a Senior Manager to lead the analytic support of contract negotiations, strategic initiatives and regulatory requests within the Contracting team. This role will manage staff and provide training and mentoring to all team members.

The Senior Manager will directly support complex analyses related to negotiations and provider contracts, and actively participate in external provider meetings with Contract Managers.