Ancillary Contract Manager
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 which maximize Blue Crosss competitive position and support its strategic vision of making quality health care more affordable.
Responsible for the analysis, negotiation/renegotiation, implementation, evaluation, and continuous improvement of all functions related to provider contracting for a set of ancillary provider networks.
Work on the development of rate proposals needed to support contract negotiations using Excel-based modeling tools.
Draft and negotiate contract language.
Work collaboratively with clinical, financial, and legal teams in the execution of contracts and proposals.
Respond to both internal and external customers regarding provider contractual arrangements, both for contract implementation and ongoing operations.
Manage corporate interdependencies to assure timely and accurate resolution of complex and sensitive provider issues.
Responsible for the accuracy of contract proposals, rate proposals and final contract implementation.
Encourage change innovation and risk taking.
Maintain and foster key contacts and effective working relationships with the provider community.
What You Bring
Understanding of provider contract development; demonstrated understanding of health care reimbursement methods and strategies.
Experience negotiating with providers, particularly clinical laboratory, home infusion therapy and rehabilitation hospitals.
Demonstrated ability to influence, negotiate, and operate collaboratively as part of a team to achieve effective outcomes and resolution.
Understanding of provider health care issues and trends. Ability to relate this understanding to current and future provider discussions.
Excellent written/verbal communication skills; effective presentation, project management and planning skills.
Effective management of multiple and competing priorities.
BS/BA or commensurate work experience required.
#LI-Hybrid
Minimum Education Requirements:
High school degree or equivalent required unless otherwise noted above
Location Boston, Hingham Time Type Full time
Salary Range: $106,920.00 - $130,680.00
The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employees pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
This job is also eligible for variable pay.
We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Companys sole discretion, consistent with the law.
WHY Blue Cross Blue Shield of MA?
We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please dont hesitate to apply. Wed love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. Its in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.
As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something youd like to be a part of, wed love to hear from you. You can also join our Talent Community to stay in the know on all things Blue.
At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our " How We Work " Page.
Apply Now
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 which maximize Blue Crosss competitive position and support its strategic vision of making quality health care more affordable.
Responsible for the analysis, negotiation/renegotiation, implementation, evaluation, and continuous improvement of all functions related to provider contracting for a set of ancillary provider networks.
Work on the development of rate proposals needed to support contract negotiations using Excel-based modeling tools.
Draft and negotiate contract language.
Work collaboratively with clinical, financial, and legal teams in the execution of contracts and proposals.
Respond to both internal and external customers regarding provider contractual arrangements, both for contract implementation and ongoing operations.
Manage corporate interdependencies to assure timely and accurate resolution of complex and sensitive provider issues.
Responsible for the accuracy of contract proposals, rate proposals and final contract implementation.
Encourage change innovation and risk taking.
Maintain and foster key contacts and effective working relationships with the provider community.
What You Bring
Understanding of provider contract development; demonstrated understanding of health care reimbursement methods and strategies.
Experience negotiating with providers, particularly clinical laboratory, home infusion therapy and rehabilitation hospitals.
Demonstrated ability to influence, negotiate, and operate collaboratively as part of a team to achieve effective outcomes and resolution.
Understanding of provider health care issues and trends. Ability to relate this understanding to current and future provider discussions.
Excellent written/verbal communication skills; effective presentation, project management and planning skills.
Effective management of multiple and competing priorities.
BS/BA or commensurate work experience required.
#LI-Hybrid
Minimum Education Requirements:
High school degree or equivalent required unless otherwise noted above
Location Boston, Hingham Time Type Full time
Salary Range: $106,920.00 - $130,680.00
The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employees pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
This job is also eligible for variable pay.
We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Companys sole discretion, consistent with the law.
WHY Blue Cross Blue Shield of MA?
We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please dont hesitate to apply. Wed love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. Its in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.
As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something youd like to be a part of, wed love to hear from you. You can also join our Talent Community to stay in the know on all things Blue.
At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our " How We Work " Page.
Apply Now