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Job Information

Beth Israel Lahey Health Director - Payor Contracting in Wakefield, Massachusetts

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Type:

Regular

Scheduled Hours:

40

Work Shift:

Day (United States of America)

The Director of Contracting is responsible for managing legal review, policy compliance, contract retention and administrative tracking of all contracts to which BILHPN, including its subsidiaries and affiliates, is a party.

Will manage negotiation and execution of managed care contracts between BILHPN, other BILH entities, affiliated providers and various managed care payers.

Advances BILHPN payer strategy and aligns negotiation with strategy.

Reports to the Vice President, Payer Strategy for Beth Israel Lahey Health Performance Network (BILHPN),

Job Description:

Primary Responsibilities:

1. Partners with the Vice President, Contracting to negotiate and manage BILHPN contracts, including initiate, plan, finalize, implement, report (written and verbal) and direct related negotiations. (essential)

2. Proposes contracting and pricing models and strategies using knowledge of market, local and national benchmarks, and payer market. Key member of negotiating team for company. (essential)

3. Negotiates contract language across all contracts, striving for uniformity among different contracts, partnering with the General Counsel as needed and as appropriate. (essential)

4. Coordinates finance, legal and operational reviews of contracts. Coordinates sign off on all proposed terms of contracts and amendments, adhering to Company contract sign off and approval processes, including sign off by the monitor of the Assurance of Discontinuance between the Commonwealth of Massachusetts and BILH. (essential)

5. Develops and adheres to all Company processes for tracking rates and terms of all contracts. (essential)

6. Oversees Contract Committees for BILHPN and affiliated entities as necessary. Works directly with committee chairs/co chairs to set agenda and direction of committees, as well as manage content of all materials for meetings. Responsible for creating presentation materials for presentations to senior leadership and Board members. (essential)

7. Works with the Contracts and Finance team of BILHPN to develop risk sharing methodologies for hospitals and physicians to share risk. Monitors methodologies and adjusts risk sharing strategies to account for changes in marketplace and contract terms. (essential)

8. Knowledgeable of all contracting efforts within BILHPN and BILH as it may apply to hospital, physician, home care and hospice, behavioral health, transplant, ancillary or international contracts, as at any time these may come under the auspices of the Director. (essential)

9. Serves as a member of the BILHPN's Leadership Team; is a valuable member of the team based on core business subject matter expertise, general industry knowledge and skills and interest in being a member of a team. Consults with other members of the BILHPN Leadership Team on contract terms and updates to contracts that may apply to operational areas within BILHPN or BILH entities. (essential)

10. Has the authority to direct and support managers with functional area responsibilities. Has the direct responsibility to undertake the following employment actions: hiring, termination, corrective action and performance reviews.

11. Supervises contracting personnel, overseeing scope, direction and output of work, with focus on staff development. Ensures staff is balancing competing major priorities

Education :

Bachelor's degree required. Master's degree preferred.

Experience :

5-8 years related work experience required and 1-3 years supervisory/management experience required.

Skills, Knowledge & Abilities :

Negotiation and Presentation Skills.

Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web based applications. May produce complex documents, perform analysis and maintain databases.

FLSA Status:

Exempt

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

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