About the Company:
A Fortune 500 company, is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government sponsored healthcare programs, focusing on underinsured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans).
The Company operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.
Identify, negotiate and manage high performing provider and vendor partnerships.
Negotiate vendor or provider contracts and manage implementations and ongoing relationships.
Perform market research and analysis as directed.
Define, initiate, and direct financial analyses and operational reporting for the assigned vendor and provider agreements.
Lead, manage, and track ongoing financial and operational success of designated partnership.
Develop and initiate corrective action plans or agreement modifications where necessary, coordinating with local health plans and other applicable internal teams.
Initiate and lead meetings with health plans and corporate teams, including executive management, to review vendor and provider agreement performance data and scorecards, and partnership strategy.
Bachelor's degree in Business Administration, Marketing, Finance or related field or equivalent experience.
6+ years of vendor and/or provider contract negotiations, contract analysis and/or modeling experience in health care or similar industry.
Experience negotiating contracts with successful outcomes and measurable financial results.
Experience with presenting and communicating negotiation strategies and results at senior levels.
Experience with health care provider negotiations for Government programs preferred.
Experience or knowledge of risk based and/or value based contracts preferred.
The company offers more than just medical insurance. They pay most of your benefits costs and in some cases – they pay 100 percent. Most of the benefits not covered by the company are paid with pre-tax payroll deductions.
Flexible spending accounts (includes health care, dependent care mass transit reimbursement)
Short- and long-term disability insurance
Basic Life insurance
Supplemental life insurance
401(k) retirement with company match
Employee stock purchase plan
Vacation, Personal and Sick time
Paid Company Holidays
Employee Assistance Program (EAP)
Training and Learning Opportunities
Tuition Reimbursement/Educational Assistance
On-site fitness center or discount at local fitness centers (most locations)
Discounts for select local and national products and services, including cell phones, computers and more
Other amenities may be available, but vary by location