Job Information
Point32Health Manager, Contracting in Canton, Massachusetts
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. To learn more about who we are at Point32Health, click here (https://youtu.be/S5I_HgoecJQ) .
Job Summary
The Manager of Contracting oversees a team of Contract Managers or Associate Contract Managers in charge of negotiating provider agreements with hospitals, physician groups, and/or independent providers. This individual is the primary lead during negotiations and is responsible for providing oversight and assistance regarding the discussion of financial and legal terms. In addition, this individual will ensure that contract terms are consistent with organizational strategy and are negotiated within the organization’s established legal, financial and operational guidelines. The Manager, Contracting will work closely with the Director, Contracting on negotiation strategy development and execution. Additionally, this individual will work closely with Contract Managers and Associate Contract Managers and the implementation team to ensure smooth, timely, and accurate implementation of all contract terms.
Key Responsibilities/Duties – what you will be doing
Ensure the team is supported in the organization of their work, has clearly outlined deliverables, and is performing in an efficient manner.
Support and coach the team in their negotiations maintaining a focus on budgeted targets, regulatory requirements, and operational guardrails.
Work closely with the Contract Managers and legal department to ensure 1) consistency of contract provisions, to the extent possible, across the network and 2) that all relevant provisions are included in the signed agreement.
Assist Contract Managers and Director, Contracting in developing the organization’s position on key issues relevant to the contract negotiation. 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 value-based contracting, unit cost trend, provider financial performance, and any analytical tools utilized by Point32Health to understand the performance, of the provider network.
Lead and/or participate in cross functional meetings as required; lead internal ad hoc groups to address contracting issues, communicate status of negotiations and document key financial and legal terms.
Supervise a team of Contract Managers. Support the execution of direct reports in performing all essential job functions of the Contract Manager role.
Participate as the managerial lead, as appropriate
Other duties and projects as assigned.
Qualifications – what you need to perform the job
EDUCATION, CERTIFICATION AND LICENSURE:
Bachelor’s Degree required
Master’s Degree in Business Administration or other advanced degree preferred.
EXPERIENCE (minimum years required) :
5-7 years of experience
3-5 years in managed healthcare
Experienced in value-based contract negotiations, including a substantive understanding of provider reimbursement methodologies.
SKILL REQUIREMENTS:
Excellent communication, presentation and influencing skills
Demonstrated strength in finance to support financial contract components and analysis
Ability to research, interpret and communicate complex issues
Ability to coach and lead a team of contract managers and associate contract managers
Advanced analytic ability, mastery of Microsoft Word, Excel and PowerPoint applications
Compensation & Total Rewards Overview
The annual base salary range provided for this position represents a broad 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; equity with internal colleagues; and other conditions of employment. 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 https://www.point32health.org/careers/benefits/
Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity
Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's 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.
At Point32Health, we strive to be a different kind of nonprofit health and well-being company, with a broad range of health plans, and innovative tools that make navigating health and well-being easier, guiding our members at every step of their health care journey to better health outcomes. We are committed to providing high-quality and affordable health care, improving the health and wellness of our members, and creating healthier communities across the country. The Point32Health name is inspired by the 32 points on a compass. It speaks to the critical role we play in guiding and empowering the people we serve to achieve healthier lives. Our employees are hard-working, innovative, and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England.