Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities.

Job Summary

The Associate Contract Manager serves as the primary point of contact for providers which Point32Health needs to negotiate single case agreements, individual contracts, and select small hospitals. This individual will ensure that contract terms are consistent with organizational strategy and are negotiated within the established legal and financial guidelines as established by Point32Health.

Job Description

Main point of contact for commercial single case agreement negotiation
Main point of contact for behavioral health and medical independent group contract negotiations
Main point of contact for negotiation and maintenance of assigned hospital provider contracts
Act as subject matter expert on terms and conditions of managed provider contracts for both internal and external constituents.
Under the direction of and with assistance from the Manager, Commercial Provider Network Contracting, evaluate provider rate request and bring negotiation to closure at or under budget.
Ensure contract terms are accurately communicated internally for implementation
Work closely with the legal department to ensure contract provisions are consistent across providers and ensure all applicable legal terms are included in the signed agreement
Ensure provider agreements comply with Point32Health policies and business standards.
Collaborate with other departments as needed
Assist with department projects
Any other responsibilities assigned by Manager, Commercial Provider Contracting
Other duties and projects as assigned.

EDUCATION, CERTIFICATION AND LICENSURE:

Required: B.S./B.A. degree

EXPERIENCE (minimum years required):

Required: Minimum of 3-5 years’ work experience in a professional setting.
Proficiency in the use of PC based computers is essential.
Previous experience or knowledge of health care is preferred.

SKILL REQUIREMENTS:

Must be a self-starter with the ability to identify, understand, research, and solve internal and external issues.
Must recognize and consider the broader business, operational and financial impact of focused, department-specific initiatives, analytic questions and/or decisions.
Requires the ability to work in a fast-paced environment balancing multiple priorities and utilizing resources aggressively.
Requires excellent interpersonal skills to work with a diversity of individuals from numerous departments and different levels within and outside of the organization.
Requires an individual to be detail oriented, organized, and the ability to manage multiple tasks at the same time.
Requires good oral and written communication skills in addition to relationship building skills with both internal and external customers.

WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.g., lifting, travel):

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.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Compensation & Total Rewards Overview

As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

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

For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/

Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity

Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org