Senior Manager overseeing the development of contracting models and financial arrangements for BCBSMA healthcare services. Leading initiatives and managing cross-functional teams to enhance competitive positioning.
Responsibilities
Provide strategic direction and oversight for the development of innovative contracting models, financial arrangements, and provider partnerships that support enterprise goals.
Manage risk, enhance BCBSMA’s competitive position, and serve as a trusted advisor to internal stakeholders.
Drive cross-functional initiatives and provide people and thought leadership within the Contract Operations function.
Set strategic direction and lead the development and implementation of innovative contracting methodologies for physician and institutional providers.
Provide oversight of contract amendments, renewals, and approvals, ensuring compliance with business, legal, and financial requirements.
Assess and mitigate financial, operational, and contractual risk while ensuring contracts support long-term strategic and financial objectives.
Lead high-impact, cross-functional project teams and influence decision-making without direct authority.
Partner with Operations and Technology teams to ensure accurate and timely implementation of contracts within the Provider Contract Management System (e.g., Salesforce).
Requirements
Expert knowledge of provider contracting principles, reimbursement methodologies, and risk-based arrangements.
Advanced experience in complex contract negotiation, financial modeling, and strategic decision-making.
Strong executive presence with the ability to communicate clearly and influence senior stakeholders.
Demonstrated success leading teams, managing large-scale initiatives, and balancing multiple priorities in a dynamic environment.
High proficiency with contract management systems and data-driven reporting; Salesforce experience strongly preferred.
Familiarity with legal, regulatory, and compliance considerations in provider contracting preferred.
Bachelor’s degree required; advanced degree (MBA, MHA, or similar) preferred.
Demonstrated experience in provider contracting, healthcare finance, or related field.
Proven experience in senior-level contract development, strategic planning, and stakeholder management within a health plan or provider organization.
Experience leading teams and influencing outcomes across complex matrixed environments.
Benefits
paid time off
medical/dental/vision insurance
401(k)
a suite of well-being benefits to eligible employees
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