Location: Burlington, MA
Job ID: 151997-1A
Date Posted: Dec 19, 2018
Lahey Health Shared Services is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.
We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.
About the Job
Under the general direction of the Vice President of Contracting, identifies issues of concern or importance to Lahey Health and LCPN (“Lahey”) and advocates for Lahey's interests with the payors. Serves as key contact for contract implementation, policy changes by the payors, communicates with appropriate Lahey management, and negotiates regarding these updates on behalf of Lahey. Strengthens and maintains relationships with key payors, promotes Lahey's interests and educates payors about Lahey. Facilitates effective working relationships between key individuals at major payors and appropriate management staff at Lahey. Identifies trends in reporting and measurement of clinical measures for each insurer and coordinates Lahey approach to these measures. Coordinates internal efforts to identify issues and facilitate communication regarding payor issues among Lahey operational managers.
Essential Duties & Responsibilities including but not limited to:
Education: Bachelor’s degree in related field, Master’s degree in healthcare preferred
Experience: 5-10 years at the management level preferably with key payors in MA, with demonstrated successful problem resolution and effective project management. Experience with managed care; experience with complex provider organizations. Customer communication experience.
Skills, Knowledge & Abilities: Outstanding verbal and excellent written communication skills; outstanding ability to work with individuals at multiple levels of organizations to identify problems and bring them to satisfactory resolution; excellent ability to anticipate impacts of proposed changes and to communicate them to those who need to know. Proven ability to work independently and in a collaborative team environment. Excellent ability to prioritize multiple projects; ability to consistently maintain appropriate professional demeanor under sometimes stressful circumstances. Ability to analyze mathematical data.
The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.
Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.
Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.