Senior Manager, Ancillary Provider Contracting Specialist

6 days ago


Canton, Massachusetts, United States Point32Health, Inc. Full time
Job Summary

The Senior Manager of Ancillary Contracting oversees a team of Contract Managers and Contract Specialists, responsible for negotiating complex Ancillary provider agreements. This individual provides oversight and assistance to team members, ensuring contract terms align with organizational strategy and are negotiated within established legal, financial, and operational guidelines.

Key Responsibilities
  • Support and coach Contract Managers in personnel and work-related matters.
  • Ensure team efficiency and performance, with clearly outlined deliverables.
  • Coach team members in negotiations, focusing on budgeted targets, regulatory requirements, and operational guardrails.
  • Collaborate with Contract Managers, the legal department, and the Director of Ancillary Contracting to ensure consistency of contract provisions and inclusion of relevant provisions in signed agreements.
  • Assist the Director in developing the organization's strategy for assigned provider specialties and upholding the strategic position to meet key objectives.
  • Understand business aspects such as value-based contracting, unit cost trends, provider financial performance, and analytical tools used by Point32Health to understand provider network performance.
  • Lead and participate in cross-functional meetings, lead internal ad hoc groups to address contracting issues, communicate negotiation status, and document key financial and legal terms.
  • Supervise and support a team of Contract Managers and Contract Specialists in performing essential job functions.
Qualifications
  • 3-5 years in managed healthcare.
  • 3-5 years of management experience.
  • Experience in value-based contract negotiations, including a substantive understanding of provider reimbursement methodologies.
Skills and Requirements
  • Excellent communication, presentation, and influencing skills.
  • Demonstrated strength in finance to support financial contract components and analysis.
  • Ability to research, interpret, and communicate complex issues.
  • Ability to coach and lead a team of Contract Managers and Contract Specialists.
  • Advanced analytic ability, mastery of Microsoft Word, Excel, and PowerPoint applications.
Working Conditions and Additional Requirements
  • Must be able to work under normal office conditions and work from home as required.
  • Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
  • May be required to work additional hours beyond standard work schedule.


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