Health Systems Contracting Expert (Hybrid)
Baltimore, MD
| Employer: | CareFirst BlueCross BlueShield |
| Category: |
Health Care
Management |
| Job Type: | Full Time |
Description | |
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Resp & Qualifications PURPOSE: This role is responsible for the financial negotiations of all Hospital contracts including but not limited to those in Value-Based contracts representing more than $2 billion in cost of care. This role is critical to driving the effort to transition from a fee-for-service payment system which incents health care providers to generate volume to a payment approach that rewards providers for the value they create. We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week. ESSENTIAL FUNCTIONS:
SUPERVISORY RESPONSIBILITY: This position has no direct reports, however, may informally lead teams in a matrix environment. QUALIFICATIONS: Education Level: Bachelor's Degree in Business, Healthcare, Finance or related field OR in lieu of a Associate degree, an additional 2 years of relevant work experience is required in addition to the required work experience. Experience: 10 years experience in health care insurance industry with specific experience in contracting, negotiation and reimbursement development. Preferred Qualifications: Analytical skills principles as evidenced by CPA or MBA highly desirable. Knowledge, Skills and Abilities (KSAs)
Salary Range: $114,960 - $205,491 Travel Requirements: Estimate Amount: 30% Local travel to attend meetings onsite with provider groups and regulators. Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department Provider Contracting Admin Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: www.carefirst.com/careers Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship. #LI-NH2 | |