Ancillary Provider Relations Account Executive, OneCare and Senior Care Options

Site: Mass General Brigham Health Plan Holding Company, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.Responsible for managing relationships with healthcare providers to ensure quality care and cost-effective services for patients.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.

Education

• Associate's Degree; experience can be considered in lieu of a degree

Experience

• At least 5-7 years of experience in healthcare provider network management, contract negotiation, or related field required
• At least 3-5 years of experience in senior or leadership role required
• D-SNP (SCO and OneCare) experience preferred

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.

Working Conditions

• This is a hybrid role, which means an onsite meeting 1x/month and potential travel to provider offices
• This is a full-time, Monday through Friday, 8:30 to 5 PM ET schedule

Hybrid399 Revolution Drive40RegularDay (United States of America)

Pay Range

$79,560.00 - $115,720.80/Annual

Grade

7At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework