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This job was posted by https://www.vermontjoblink.com : For more information, please see: https://www.vermontjoblink.com/jobs/1242924

Blue Cross and Blue Shield of Vermont is looking for a Senior Provider Contracting Consultant to join our Provider Contracting department. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced, flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.

LOCATION:Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. Outside of a 50 mile radius, employees are fully remote.

Sr. Provider Contracting Consultant Responsibilities:

• Develop and analyze hospital and provider data to support specific negotiations and strategic network management and medical cost management initiatives.
• Develop and negotiate reimbursement proposals for the plans hospitals, select non-facility providers, designated agencies, and ancillary providers
• Facilitate in person or virtual meetings to develop provider partnerships and business relationships.
• Maintain communications at the executive level with hospitals and other identified providers to resolve contractual and network management issues.
• Serve as the departments primary liaison with other internal teams to develop cost monitoring tools and review financial and utilization information.

Sr. Provider Contracting Consultant Qualifications:

• Bachelors degree in health administration, finance, business, or related field, required; masters degree preferred.
• 6 to 8 years of increasingly responsible experience in health care or insurance; or an equivalent combination of education and work experience required.
• Demonstrated experience in negotiating payer/provider contracts required.

Sr. Provider Contracting Consultant Benefits:

• Health insurance (including vision)
• Dental coverage (free to employees)
• Wellness Program
• 401(k) with employer match + automatic employer contribution
• Life Insurance
• Disability Insurance
• Combined time off (CTO) 20 days per year + 10 paid holidays
• Tuition Reimbursement
• Student Loan Repayment
• Dependent Caregiver Benefits