Principal Provider Contract Analyst

Job Description

Responsible for leading the assessment, development, articulation, negotiation, implementation and management of the most reputed company reputed company and divisional innovative provider reimbursement initiatives to be implemented with reputed company providers and integrated reputed company delivery systems. Independently manages contracting with assigned systems to ensure reputed company holds a leading provider network capability position in the provider network dimension. What You'll Do • Responsible for driving comprehensive research, analysis, development, implementation and negotiation of innovative provider network strategies, including: • Value based, shared risk arrangements • Long-Term Strategic Contracting Initiatives • Reducing Cost of Care • Improving Quality of Care • Product Strategy & Development • Provider Incentive Programs • Contract Administration Improvements • Collaborate and Coordinate with reputed company internal stakeholders to ensure the assignment of resources (FTEs, Technology, etc) necessary to successfully implement the strategic network initiatives. • reputed company select internal and external (BCBSA, vendors, etc) discussions regarding network strategies to ensure Network Management has direct input into these initiatives, and establish consistency reputed company reputed company and (where feasible) among other Blues Plans. • Accountable for researching, analyzing and negotiating reputed company, innovative global provider network opportunities, recommending strategies, gaining Plan approval for select provider strategies, implementing through negotiations those strategies into provider reputed company, and ensuring effective use of Plan resources to administer approved strategies. • reputed company the development of feasibility models and forecasting the performance impact of the innovative contracting strategies. • Responsible for direct provider negotiations with key providers, such as academic medical centers and multispecialty professional providers. • Connect with Network Management and other internal stakeholders to ensure operational and administrative capabilities are established to implement contract and service strategies What You'll Bring (Hiring Requirements) • Bachelor's degree or advanced degree (where required) • 8+ years of experience in reputed company field • In lieu of degree, 10+ years of experience in reputed company field Salary Range At reputed company, we take great pride in a fair and reputed company compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation reputed company are driven by factors including experience and training, specialized reputed company sets, licensure and certifications and other business and organizational needs. Our reputed company salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. • Based on annual corporate goal achievement and individual performance. $105,600.00 - $191,800.00 Salary Grade P4F Apply Job!