Job Summary
The Senior Contract Manager serves as the primary point of contact with providers to negotiate every aspect of contracts with large physician and hospital organizations. This individual is the primary lead during negotiations and is accountable for the financial and legal terms negotiated with the providers, which includes multiple risk arrangements, quality incentives and contract language elements. In addition, this individual will ensure that contract terms are consistent with the Commercial contracting strategy and are negotiated within the established legal and financial guidelines as established by Point32Health.
Job Description
Key Responsibilities/Duties – what you will be doing (top five):
- Lead the negotiation of contractual arrangements with established or potential network providers, within budgeted targets, administrative requirements, and regulatory requirements. Direct financial analyses to support contract negotiations, independently develop proposals oversee the development of contract documents, and compose comprehensive contracts inclusive of contractual conditions, legal terms, and financial elements, for successful implementation.
- Work closely with the legal department to ensure contract provisions are consistent across providers and ensure all applicable legal terms are included in the signed contract. Understand organizational, state-level, and national laws and regulations to ensure contract language meets compliance standards.
- Articulate to Network providers, including individuals at the executive level, Point32Health’s position on key issues relevant to the contract negotiation. Senior Contract manager to be well versed in publicly reported financial data such as provider relative price, total medical expense, and hospital 403 cost information for use in negotiations. Senior CMs also responsible for negotiating terms of multiple risk arrangements across all products and clearly defining those terms. Senior CMs work closely with partner departments (clinical, reporting, quality) to develop key objectives for the contract cycle. Manage and position the negotiation so that Point32Health meets the key objectives that have been identified for the contracting cycle.
- Understand, with a high degree of specificity, important business aspects such as global budget models across all products, unit cost trend, provider financial performance, and any analytical tools utilized the Point32Health to understand the performance, financial and otherwise, of the provider network.
- Lead and/or participate in cross functional meetings throughout the organization; lead internal ad hoc groups to address contracting issues, communicate status of negotiations and document key financial and legal terms.
- At manager’s discretion, maintain ownership and the development of at least one key negotiation tool or support function (sales, government affairs etc.)
- Primary relationship contacts with provider organization during negotiation
- Other duties and projects as assigned.
Qualifications – what you need to perform the job
Certification and Licensure
Education
- Required: Bachelor’s Degree
- Preferred: Master’s Degree
Experience
- Required: 5-7 years in managed healthcare. Experience in contract negotiations preferred, including familiarity with various payment methodologies.
- Preferred: 8-10 years of related work experience
Skill Requirements
- Excellent communication skills, both oral and written.
- Established presentation and influencing skills
- Demonstrated strength in finance to support financial contract components and analysis
- Ability to independently research, interpret, communicate, and resolve complex issues
- Advanced analytic ability with proficiency in Microsoft Word, Excel, and PowerPoint applications
- Excellent time management skills to manage multiple priorities to deadline
Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):
- 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.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.
Salary Range
$107,940.83 -$161,911.25
Compensation & Total Rewards Overview
The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.
Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:
Medical, dental and vision coverage
Retirement plans
Paid time off
Employer-paid life and disability insurance with additional buy-up coverage options
Tuition program
Well-being benefits
Full suite of benefits to support career development, individual & family health, and financial health
For more details on our total rewards programs, visit
