What are the responsibilities and job description for the Provider Contracting Counsel position at BlueCross BlueShield of Vermont?
Job Description
Job Description
Blue Cross and Blue Shield of Vermont is looking for a Provider Contracting Counsel 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. We are only hiring Vermonters for this role.
Provider Contracting Counsel Responsibilities :
- Prepare and review all facility, professional, and ancillary provider contracts. Assist in negotiation of contract terms with providers as necessary.
- Review and interpret state and federal statutes and regulations that impact the contracting process.
- Serve as the lead for payment policy development and maintenance.
- As needed, assist the General Counsel with provider-related matters including assistance with litigation discovery, research, or monitoring ongoing developments in the federal or state realm.
- Contribute to the development and maintenance of credentialing, quality, medical, and operational policies as it relates to the provider network.
- Provide accurate and timely legal support to all departments regarding provider contracting issues.
Provider Contracting Counsel Qualifications :
Provider Contracting Counsel Benefits :
