Sr Network Consultant

Point32Health • Canton, MA

10h • $115,073 - $172,609

About The Position

Reporting to the VP of Contracting, this role will be a Contracting enterprise strategic partner for the organization. The SBL is the central point of contact for Contracting initiatives. As such they will provide leadership, consultation, facilitation, and insight to develop the annual contracting plan, adjust the plan as necessary throughout the year, and ensure Contracting delivers on the agreed upon strategic initiatives that are critical to the line of business goals and long-term strategy. This individual is accountable for assessing internal and external resources/opportunities, as well as gathering and synthesizing data to make sound business recommendations in support of our line of business strategy. In collaboration with Provider Partnerships, this individual works with cross-functional teams to advance complex large-scale projects from strategy to implementation. This individual collaborates closely with Sales, Finance, Product, Medical Management, Government Relations, Marketing, and IT resources to assure data driven business needs are effectively communicated, building consensus among vested parties that results in alignment and timely execution of the business and technology deliverables.

Requirements

• Must have extensive knowledge of the health plan industry and its customers, as well as expertise in strategy development/planning and project leadership.
• Strong analytic skills, with a clear understanding of dynamics of financial models, provider incentives, and contracting business processes.
• Well developed, working knowledge of managed care, insurance, and provider dynamics.
• Advanced Excel and PowerPoint skills
• Must have a proven track record of working effectively with people and processes at multiple levels
• Requires strong leadership, communication, negotiation, and conflict resolution skills.
• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.
• Bachelor’s degree in business and/or related field or equivalent experience
• 5-7 years of provider contract related experience

Nice To Haves

• Strong presentation/facilitation, as well as business analysis skills preferred.
• Master’s degree preferred
• 7-10 years of general work experience

Responsibilities

• In conjunction with Contracting Directors and Director, Provider Partnerships Strategy and Analytics, develop and update all line of business annual network strategy for Ancillary and System Contracting for Contract leadership review.
• Manage complex initiatives and/or alliances that require integration across multiple business units. Gather cross functional internal/external inputs and provide content expertise to make high level recommendations to Contracting leadership.
• Develop, maintain, and reinforce program strategy and scope; serve oversight role in ensuring programs are on track, on budget, and progressing towards business goals identified.
• Develop, manage, and lead effective and collaborative program and team structures to ensure that discussions are appropriately focused, timely, and incorporate input from internal and external subject matter experts.
• Proactively identify implications and challenges to success, and develop cross-functional strategies to address/resolve and get buy-in; escalate as needed to achieve timely resolution of issues
• Develops and coordinates reports, queries and/or extracts to support data requests and analytics related to strategic initiatives
• Represents Contracting as an SME for line of business/product forums
• Other duties and projects as assigned.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level