Senior Contract Manager at AllWays Health Partners

Posted in Other 7 days ago.

Location: Somerville, Massachusetts





Job Description:

A career at AllWays Health Partners is for you in every way. We're a different kind of health plan - one that challenges the status quo and keeps people at the center of everything we do. Our promise as a people-first organization starts with our employees. As a member of our team, you'll be an essential part of our mission to be an invisible superhero behind a better health system. AllWays Health Partners is a proud member of Mass General Brigham, which means that you will be at the forefront of innovation with a world-renowned health care system as we harness our unique relationship to offer fresh solutions and take the complexity out of health care. Do you want to use your talents to redefine innovation, value and the customer experience in health care? If so, join AllWays Health Partners as we work together to realize our vision of creating a world where all people live healthier lives.


The Senior Contract Manager is responsible for the successful evaluation, negotiation, execution, implementation and on-going management of complex provider contracts, including risk based agreements for hospitals, hospital sustems, PHOS/POS/IPAS, and other large or individual provider groups. S/He will act as a resource for internal staff as needed and successfully execute on department and corporate iniviatives.



Essential Functions

• Experience with the complexities and mechanics provider contracting.
• Maintains and share knowledge of the singularities around regulatory, business and political environments that can and will impact contract discussions.
• Obtains necessary analytical information to determine effective contract negotiation strategy and approach.
• Evaluates, negotiates and recommends approach and develops comprehensive proposals to be made to ensure that newly negotiated, and existing provider contracts meet financial requirements and achieve corporate initiatives and objectives.
• Perform network expansion activities and network development as necessary to ensure robust and comprehensive provider network and expanded footprint.
• Ensures contract language and terms are consistent with organizations desired outcomes.
• Works independently and diligently throughout the contracting process and in the development and maintenance of complex provider relationships to ensure appropriate contract performance. This includes detailed financial analysis to identify medical cost improvement opportunities, development of contracting approach and action plans, identification of appropriate provider groups for risk based contracts and their successful negotiation and implementation.
• Serves as resource within department and organization.
• Represents Contracting as necessary on projects, committees, etc.
• Hold self and others accountable to meet commitments.
• Ensure diversity, equity, and inclusion are integrated as a guiding principle.
• Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
• Build strong relationships and infrastructures that designate AllWays Health Partners as a people-first organization.
• Other duties as assigned with or without accommodation.



Qualifications

Knowledge and Education




Required:

• Bachelor's Degree plus 5-7 years of related experience
• Detailed understanding of provider landscape, risk contracting options
• Financial and analytical acumen



Preferred/Desired:

• Master's Degree plus 5-7 years of related experience



Experience




Required:

• Large system contracting experience.
• Advanced analytical skills
• 5-7 years of Managed Care experience, including proven successful negotiation experience with complex and highly leveraged providers, superior financial, analytical and verbal and written communication skills.
• Proven ability to work efficiently and effectively with analytical tools, software and systems.
• Proven leadership, decision-making and consensus and relationship building skills.



Preferred/Desired:

• Medicare Advantage contracting experience
• 4-6 years of directly related proven negotiation experience



Skills/Competencies



• Stong negotiation skills and experience.
• Proficiency in Microsoft Office, including Outlook, Word, Excel and Power Point.
• Able to establish a rapport and interact positively and productively with individuals at all levels and consistently demonstrate a high level of professionalism and a positive attitude.
• Ability to make decisions in the absence of detailed instructions and to effectively work independently or in a team environment.
• Strong analytical, problem solving and strategic business planning skills.
• Detail oriented, able to effectively handle multiple tasks with excellent organizational skills.
• Outstanding written and oral communication skills; strong presentation skills.
• Demonstrate AllWays Health Partners' core brand principles of always listening, challenging conventions, and providing value.
• Strong aptitude for technology-based solutions.
• Ability to inject energy, when and where it's needed.
• Respect the talent and unique contribution of every individual, and treat all people in a fair and equitable manner.
• Exercise self-awareness; monitor impact on others; be receptive to and seek out feedback; use self-discipline to adjust to feedback.
• Be accountable for delivering high-quality work. Act with a clear sense of ownership.
• Bring fresh ideas forward by actively listening to and working with employees and the people we serve.
• Demonstrate AllWays Health Partners' core brand principles of always listening, challenging conventions, and providing value.
• Strong aptitude for technology-based solutions.
• Ability to inject energy, when and where it's needed.
• Respect the talent and unique contribution of every individual, and treat all people in a fair and equitable manner.
• Exercise self-awareness; monitor impact on others; be receptive to and seek out feedback; use self-discipline to adjust to feedback.
• Be accountable for delivering high-quality work. Act with a clear sense of ownership.
• Bring fresh ideas forward by actively listening to and working with employees and the people we serve.


Strong leadership and decision making skills as required with appropriate ability to discern when recommendations for action should be elevated to the Director for guidance/approval.



Organizational Relationships/Scope

• Reports to the Director of Contracting
• Outside of organization, typically works with healthcare Directors of Managed Care, CFOs, Executive
• Directors and/or Administrators or other Contracting professionals



EEO Statement

Our promise as a people-first organization starts with our employees. AllWays Health Partners is committed to diversity, equity, and inclusion in our workforce, internal culture, and investments. As an equal opportunity employer, AllWays Health Partners recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives, and backgrounds.


Disclaimer
The above statements are intended to describe the general nature and complexity of the work being performed by personnel assigned to this classification and do not represent an exhaustive list of all tasks, duties, and responsibilities required of personnel assigned to this position.


More jobs in Somerville, Massachusetts


PUMA North America, Inc.

Atrius Health

Mass General Brigham Ambulatory
More jobs in Other


Walmart - Kenexa

Walmart - Kenexa

Walmart - Kenexa