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Beth Israel Lahey HealthPosted 10/20/2026full-timeWakefield • Massachusetts • United StatesSenior💰 $130,000 - $159,994 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in negotiating payor contracts and developing reimbursement models while managing relationships with payors. Proficient in analyzing healthcare policies and financial performance to support strategic decision-making.
Highest-signal resume keywords
Payor Contract NegotiationFinancial Reimbursement ModelsHealthcare Policy KnowledgeMicrosoft Applications ProficiencyProject Leadership
About the role
Key responsibilities & impact- Manage all contracting activities with payors on behalf of Beth Israel Lahey Health Performance Network
- Negotiate payor contracts and develop alternative reimbursement arrangements focused on quality and medical cost trend improvement
- Identify negotiating targets and propose strategic options to maximize clinical and financial performance
- Develop and update financial reimbursement models
- Prepare contract proposals with terms and pricing structures and participate in negotiations with Senior Management
- Ensure contract documents accurately reflect negotiated terms and manage execution through electronic filing
- Serve as primary contact for assigned payor portfolio and manage ongoing payor relationships
- Resolve operational contract issues and maintain contract performance tracking systems
- Maintain expertise in hospital and physician reimbursement, coding, billing, regulations, and healthcare policy changes
- Develop care coordination and payor strategy across Medicare, Medicaid, and other product types
- Analyze alternative risk models and publicly available data to support decision-making and negotiations
- Present payor proposals, analyses, and performance reports to Senior Management and committees
- Serve as subject matter expert on payor contract terms and interpretation
- Maintain contract databases and track renewal dates
- Collaborate with hospital contracting staff and physician groups to consolidate contracts into BILHPN agreements
Requirements
What you’ll need- Bachelor's degree required
- 5-8 years related work experience required
- Ability to travel to offsite locations as needed
- Flexibility to attend early morning or evening meetings
- Advanced skills with Microsoft applications, including Outlook, Word, Excel, PowerPoint or Access, and other web-based applications
- Ability to produce complex documents, perform analysis, and maintain databases
- Ability to communicate complex information in English
- In-depth knowledge of relevant concepts, practices, and policies
- Ability to lead small projects or work groups
- Sedentary work capability, including occasional lifting, pushing, or pulling up to 10 pounds
- Must be vaccinated against influenza as a condition of employment
Benefits
Comp & perks- Influenza vaccination required as a condition of employment
- Equal Opportunity Employer/Veterans/Disabled
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract ManagementFinancial AnalysisReimbursement CodingData AnalysisContract Proposal Development
Soft Skills
CommunicationProblem-SolvingCollaborationFlexibilityLeadership
Tools & Technologies
Microsoft OutlookMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Access
Industry Keywords
HealthcareMedicareMedicaidContract Performance TrackingOperational Contract Issues