The Senior Contract Manager, Ancillary Network Contracting, will be part of the Point32Health Ancillary Network Contracting team reporting to the Manager, Ancillary Network Contracting. Senior Contract Manager will operate with minimal oversite to manage ancillary specialties, for Harvard Pilgrim and Tufts Health networks for all lines of business. The Senior Contract Manager is responsible for provider specialties that are more complex in reimbursement, benefit application, and/or larger networks.
The Senior Contract Manager will function as point person for provider recruitments; determining network needs and evaluating prospective providers. The Senior Contract Manager will be responsible for working on contract negotiation and administration; adhering to plan reimbursement strategies. This individual will ensure that contract terms are consistent with the organization’s established legal and financial guidelines. Additionally, the Senior Contract Manager will serve as a mentor; acting as a resource and assisting with training other team members. The Sr. Contract Manager will participate and will contribute to cross-divisional projects to ensure compliance and will collaborate on operational improvements and consistencies both internally and externally.Key Responsibilities/Duties – what you will be doing
Qualifications – what you need to perform the job
EDUCATION, CERTIFICATION AND LICENSURE:
EXPERIENCE (minimum years required):
SKILL REQUIREMENTS:
WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.g., lifting, travel):
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.
Commitment to Diversity, Equity & Inclusion
Point32Health is committed to making diversity, equity, and inclusion part of everything we do—from product design to the workforce driving that innovation. Our DEI strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Who We Are
Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.
We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
This job has been posted by Ignyte AI on behalf of Point32Health. Ignyte AI is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of Ignyte AI not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.
Req ID: R7818