Senior Provider Network Account Executive

Site: Mass General Brigham Health Plan Holding Company, Inc. At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply. Job Summary This is a hybrid role. It will require an onsite presence at the office in Assembly Row, Somerville, MA at least 1x/month (for team meetings, meetings with providers, and external forums). Responsible for managing relationships with MGB providers to ensure quality care and cost-effective services for patients, which includes training/educating providers. A strong understanding of claims is highly preferred. Essential Functions -Develop and maintain relationships with healthcare providers, including hospitals, clinics, and physician groups. -Negotiate contracts and rates with healthcare providers to ensure cost-effective services for patients. -Analyze healthcare provider data and trends to identify opportunities for improving patient outcomes and reducing costs. -Collaborate with internal departments, including finance, legal, and operations, to ensure compliance with regulations and policies. -Provide guidance and support to healthcare providers regarding policies, procedures, and regulatory requirements. -Monitor provider performance and identify areas for improvement or corrective action. -Stay current with industry trends and advancements in healthcare provider networks. -Develop and manage departmental budgets and forecasts. Qualifications Education Bachelor's Degree required and Master's Degree preferred Experience At least 5-7 years of experience in healthcare provider network management or related field At least 3-5 years of experience in Senior role required Knowledge, Skills and Abilities Strong understanding of healthcare provider networks and regulatory requirements. Excellent communication and negotiation skills. Strategic planning and problem-solving abilities. Ability to work independently and as part of a team. Knowledge of healthcare finance and reimbursement systems. Ability to prioritize tasks and manage multiple projects simultaneously. Additional Job Details (if applicable) Physical Requirements Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Combat disease. Hold a hand. Help people. Impact the world. Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Are you ready? Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.