What are the responsibilities and job description for the Senior Provider Contracting Consultant position at BlueCross BlueShield of Vermont?
Job Description
Job Description
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.
REMOTE WORK : 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 plan’s 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 department’s primary liaison with other internal teams to develop cost monitoring tools and review financial and utilization information.
Sr. Provider Contracting Consultant Qualifications :
Sr. Provider Contracting Consultant Benefits :
