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 Network Contracting Manager

Details
Country: USA
Location: MA Needham
Total applied: 16

Network Contracting Manager

Partners Community Healthcare, Inc. (PCHI) was established in 1994, shortly after the creation of Partners HealthCare System. PCHI is responsible for developing and supporting the community-based network of physicians and hospitals that are affiliated with the Brigham and Women's and Massachusetts General Hospitals. Today, PCHI's membership includes more than 1,000 internists, pediatricians and family practice physicians and over 3,500 specialists who provide care to more than 1.5 million patients. For more information, please visit us at http://www.partners.org/jobs

Partners Healthcare System Inc. has an opening for a strategic thinker in our Network Contracting group. This group is responsible for developing, negotiating and managing contracts with health insurers on behalf of the hospital- and community-based physicians in the Partners Healthcare System (PHS).

PHS contracting work involves:
- Development of key payer strategy questions for this large integrated delivery system
- Framing discussion of these questions throughout the system, including at the highest levels of the organization
- Development of negotiation strategy and tactics based on the outcome of these discussions
- Conduct of negotiations to implement the strategy
- Management of payer relationships once contracts are completed

Contracting Managers are expected to organize and lead the contracting process for assigned payers. This may involve overseeing the preparation of materials for key network committees; collaboration with Contract Finance staff to generate analysis of key questions and to present results; managing the process of developing negotiating positions and the negotiations themselves; and overseeing the account relations with payers.

Success in this position requires:

- Exceptional ability to understand complex concepts regarding financial and policy matters and to communicate about them orally and in writing.
- Project leadership skills, including the ability to organize and manage multiple projects under aggressive deadlines.
- Creative thinking & problem-solving skills
- Strong presentation skills, including a talent for "thinking on your feet."
- Comfort with high-level negotiations.
- Exceptional analytic skills.
- Comprehensive understanding of managed healthcare.

A Bachelor's degree is required, Master's degree strongly preferred. Candidates should have at least 4 to 6 years of progressively responsible, related experience in a complex healthcare environment.

- Apply for Network Contracting Manager

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