About the role

  • Provider Contract Manager negotiating contracts with hospitals and physician groups at Capital Blue Cross. Leading strategic partnerships and driving financial performance in healthcare.

Responsibilities

  • Lead strategic provider partnerships
  • Negotiate mutually beneficial contracts
  • Execute contract negotiations and drive provider network strategy
  • Implement innovative reimbursement models
  • Collaborate across internal teams and represent the contracting unit

Requirements

  • 8 years related work experience
  • At least 5 years including direct payer/provider negotiation experience
  • 2 years operational experience with value-based programs (preferred)
  • Bachelor’s degree in business, finance, healthcare management, clinical/medical science, or related field
  • Master’s degree preferred
  • Possession of valid driver’s license, and willingness to travel frequently within the service area

Benefits

  • Medical, Dental & Vision coverage
  • Retirement Plan
  • Generous time off including Paid Time Off, Holidays, and Volunteer time off
  • Incentive Plan
  • Tuition Reimbursement

Job title

Provider Contract Manager

Job type

Experience level

SeniorLead

Salary

$98,880 - $186,290 per year

Degree requirement

Bachelor's Degree

Location requirements

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