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Wellforce Director of Payer Strategy in Burlington, Massachusetts

Reporting to the SVP, Payer Strategy, this role works as part of a team to negotiate contract parameters with health plans to meet business goals. Collaborates with Wellforce colleagues and other internal and external stakeholders to develop and implement a proactive relationship management approach that supports long-term, mutually successful relationships with health plans. A skilled negotiator and communicator, the Director, Payer Strategy is a goal and data driven leader with a proven ability to deliver results and lead teams to achieve goals.

Responsibilities

  • Work as part of a team to negotiate financial, operational, regulatory and legal contract parameters with health plans to meet business goals

  • Coach, support and train staff to devise proposals, strategies and options for contract negotiation. Support contract negotiation as needed

  • Collaborate with colleagues across Wellforce to ensure timely and accurate contract implementation, administration and escalated issue resolution

  • Develop and implement a proactive relationship management approach that supports long-term, mutually successful relationships with health plans

  • Proactively communicate and engage Wellforce leaders and key stakeholders. Ensure a robust understanding of Wellforce concerns in order to address during health plan discussions

  • Provide ongoing staff development and coaching in negotiation and relationship management to enable a high-performing team

  • Other duties and projects as assigned

    Experience

  • Bachelor’s degree in business, health care or related field

  • Demonstrated experience in direct negotiations with a proven ability to close deals while developing relationships

  • Minimum of ten years of management progression in a complex healthcare setting

  • Previous experience in managed care contracting and collaborating with providers

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