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Director of Contracting, BILH Performance Network

Beth Israel Lahey Health

Wakefield, MAJob$150–195K/yrTracked 1mo agoSeen in employer's feed 6 days ago

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At a glance

Compensation
$150–195K/yr
Location
Wakefield, MA
Work Authorization
Not specified

Requirements

Credentials this posting asks for.

Bachelor's degree

Job overview

Beth Israel Lahey Health is hiring a Director of Contracting, BILH Performance Network. The Director of Contracting manages legal review, policy compliance, contract retention, and administrative tracking for all contracts involving BILHPN and its affiliates. This role involves negotiating and executing managed care contracts, advancing payer strategy, and aligning negotiations with strategic goals. The Director also oversees contract committees and develops risk-sharing methodologies for hospitals and physicians.

Key focus areas include Partner with Vice President, Contracting to negotiate and manage BILHPN contracts., Propose contracting and pricing models and strategies using market knowledge., and Negotiate contract language across all contracts, striving for uniformity..

Successful candidates bring Bachelor's Degree, 5-8 Years Related Work Experience, and 1-3 Years Supervisory/Management Experience. Important skills include Negotiation, Presentation Skills, Microsoft Outlook, Microsoft Word, Excel, and PowerPoint. Preferred (not required): Payer Strategy, Risk Sharing Methodologies, and Staff Development.

Skills & qualifications

RequiredNice to have

Skills

NegotiationPresentation SkillsMicrosoft OutlookMicrosoft WordExcelPowerPointMicrosoft AccessWeb Based ApplicationsPayer StrategyRisk Sharing MethodologiesStaff Development

Qualifications

Bachelor's Degree5-8 Years Related Work Experience1-3 Years Supervisory/Management ExperienceInfluenza VaccinationMaster's Degree

Full job description

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

Reporting to the Vice President, Contracting for Beth Israel Lahey Health Performance Network (BILHPN), 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.

Job Description:

  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)

  1. 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)

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

  3. 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)

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

  5. 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)

  6. 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)

  7. 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)

  1. 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).

  2. 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.

Additional Responsibilities:

  1. Supervises contracting personnel, overseeing scope, direction and output of work, with focus on staff development. Ensures

staff is balancing competing major priorities

Required Qualifications:

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

  2. 5-8 years related work experience required and 1-3 years supervisory/management experience required 3.

Negotiation and Presentation Skills.

  1. 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.

Pay Range:

$150,000.00 USD - $195,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

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) as a condition of employment.

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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