Health Care Service Corporation

Senior Manager, Key Provider Contracts

Health Care Service Corporation

full-time

Posted on:

Location Type: Remote

Location: Alabama • Florida • United States

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Salary

💰 $102,000 - $184,300 per year

Job Level

Senior

About the role

  • Directing all negotiations, strategies and direct execution of the business plan for providers in our HealthSpring Alabama and Georgia markets.
  • Emphasis on key health systems and providers that contribute $10M or more in annual allowed spend.
  • Responsible for contracting all medical agreements across these markets.
  • Market and partner direct relationship development.
  • Critical contract negotiations, establishing fee-for-service and value based contracts.
  • Enable financial and operational engagement strategies and internal cross-functional engagement with matrix partners.
  • Leading and/or supporting select additional strategic plan initiatives that involve high value partners, inclusive of cross-functional strategic projects within Healthcare Delivery and network and value-based care program evolution.
  • Work collaboratively with key network finance, contracting, analytics and operations areas as well as with enterprise areas to ensure alignment with partner strategies and financial implications.
  • Documenting and conducting analysis of current and proposed contract arrangements and its impact on HealthSpring strategy and managing its impacts on divisional and departmental short term and long term planning.

Requirements

  • Bachelor degree and 7 years experience in health care, health insurance, or strategic consulting environment
  • 2-4 years management experience with an emphasis on experience managing external stakeholders
  • Experience with strategic planning, financial and data analysis, and research
  • Working knowledge of various health insurance products
  • Strong financial acumen including understanding of financial statements and network contribution to plan financial performance.
  • Experience leading and mentoring staff.
  • Contract negotiation, development and execution.
  • Clear and concise verbal and written communication skills.
  • Experience with interacting successfully with senior management and staff across multiple departments.
  • Organizational skills, including ability to prioritize tasks.
  • Creativity in problem solving and create processes within ambiguity.
  • Business acumen and project/process integration skills.
Benefits
  • health and wellness benefits
  • 401(k) savings plan
  • pension plan
  • paid time off
  • paid parental leave
  • disability insurance
  • supplemental life insurance
  • employee assistance program
  • paid holidays
  • tuition reimbursement
  • other incentives
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
contract negotiationfinancial analysisdata analysisstrategic planninghealth insurance productsfee-for-service contractsvalue-based contractscontract developmenthealthcare deliverynetwork financial performance
Soft Skills
leadershipmentoringcommunicationorganizational skillsproblem solvingcreativitybusiness acumencollaborationstakeholder managementprioritization
Certifications
Bachelor's degree