Site: Mass General Brigham Health Plan Holding Company, Inc.

Make sure to read the full description below, and please apply immediately if you are confident you meet all the requirements. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Replacement for terminated staff Job Summary Responsible for leading the contract team in the interpretation and formulation of provider contracts, supporting team members in understanding policies, procedures, methods, operating practices, and performance standards. Collaborates with Configuration, Claims, and Finance to ensure correct loading of contract terms. Facilitates effective implementation of contract responsibilities within program objectives and requirements. Reviews and resolves complex issues and contracts. Advises management on contractual rights and obligations, providing interpretation of terms and conditions. Serves as the lead negotiator for Commercial, Medicare Advantage, and Medicaid ACO contracts, including fee-for-service, shared savings, and risk-based agreements for hospitals, healthcare systems, and large provider groups. Gathers analytical information to determine effective negotiation strategies. Evaluates, negotiates, and develops proposals to ensure contracts meet financial requirements and align with corporate initiatives. Ensures contract language aligns with organizational outcomes. Works independently throughout the contracting process, developing and maintaining complex provider relationships, including detailed financial analysis and development of contracting approaches and action plans. Represents Provider Contracting on projects, committees, and within the organization. Maintains knowledge of regulatory, business, and political environments impacting contracts. Holds self and others accountable to meet commitments. Integrates diversity, equity, and inclusion principles. Builds strong relationships, establishing Mass General Brigham as a people-first organization. Qualifications Bachelor’s Degree plus 5-7 years of related experience; Master’s Degree preferred. Knowledge of the local MA market complexities. Experience with Commercial, Medicare, Medicaid, and D-SNP lines of business. Knowledge, Skills, and Abilities Experience with large system, hospital, and physician network contracting. Excellent communication and presentation skills. Expertise in provider contracting mechanics and complexities. Successful negotiation experience with complex providers, strong financial and analytical skills. Proficiency with analytical tools and systems. Leadership, decision-making, and relationship-building skills. Experience working with senior management and external stakeholders. Additional Job Details Working Conditions Remote position with occasional travel to Somerville, MA. Remote Type Remote Work Location 399 Revolution Drive, Somerville, MA Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (U.S. time zone) Pay Range $78,000 - $113,454 annually Grade 7 Mass General Brigham values diversity and equal opportunity. We consider all qualified applicants without regard to race, color, religion, sex, gender identity, disability, sexual orientation, military service, genetic information, or other protected status. Reasonable accommodations are available for applicants with disabilities. For accommodations, contact Human Resources at (857) 282-7642.

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