Contract Manager
Full-time
Brighton Health Plan Solutions, LLC
About The Role
BHPS is seeking a Contract Manager responsible for the contracting and maintenance of the relationship with network health systems in their assigned territory or specialty. This also includes the recruitment, and management of the provider network inclusive of hospitals and physician groups in the New York metro market. The successful candidate will perform all of the requisite due diligence activities to identify and secure new relationships and contracts as needed with providers and re-contract with existing providers to ensure cost effective and competitive arrangements. The Contract Manager will also coordinate with other areas as appropriate to incorporate a sound strategic approach to provider network development.
The Contract Manager is a strategic and operationally oriented professional that will help build partnerships with our network, bring an analytic mindset to discussions and manage and execute projects including network development and provider outreach. Success in this position is based on strong communication skills and solid relationships with internal and external stakeholders.
*Please note, this position is a hybrid position and can be based in our Long Island office. Primary Responsibilities
• Review, analyze, negotiate, implement, and maintain existing contracts with an understanding of professional rate schedules and contractual language.
• Identify network development opportunities through financial analysis, client requests, and product development.
• Define performance improvement opportunities.
• Implement new and evolving strategic contract initiatives including alternative payment methodologies, e.g. bundling, value-based payment, pay for performance.
• Analyze reports on cost, utilization, claim submission patterns and outcomes. Prepare presentations on subsequent findings.
• Develop, implement, and support the ongoing efforts to build new network solutions and deploy solutions as appropriate.
• Assist in resolution of provider issues, including root cause analyses, mediation between parties, and strategic relevance to the organization and its clients.
• Partner with different areas for outstanding payments, medical management, and provider policy.
• Other duties and projects as assigned and specified by supervisor in line with department and company needs. Essential Qualifications
• Minimum 5 years in a provider or hospital administration role.
• Strong understanding of contract language.
• Strong understanding of professional provider cost structures and reimbursement methodologies.
• Sound knowledge of healthcare contracting.
• Demonstrated analytical & negotiation abilities, with excellent communication and presentation skills.
• Ability to multi-task.
• Organized and methodical.
• Customer service skills.
• Proficiency in Excel. Preferred Qualifications
• 5 years in a provider contracting role with existing market relationships.
• Experience in financial or actuarial modeling.
• Expert proficiency in Excel.
• SQL and access experience.
• Understanding of provider experience and clinical operations.
• Revenue cycle management.
• Master’s Degree.
BHPS is seeking a Contract Manager responsible for the contracting and maintenance of the relationship with network health systems in their assigned territory or specialty. This also includes the recruitment, and management of the provider network inclusive of hospitals and physician groups in the New York metro market. The successful candidate will perform all of the requisite due diligence activities to identify and secure new relationships and contracts as needed with providers and re-contract with existing providers to ensure cost effective and competitive arrangements. The Contract Manager will also coordinate with other areas as appropriate to incorporate a sound strategic approach to provider network development.
The Contract Manager is a strategic and operationally oriented professional that will help build partnerships with our network, bring an analytic mindset to discussions and manage and execute projects including network development and provider outreach. Success in this position is based on strong communication skills and solid relationships with internal and external stakeholders.
*Please note, this position is a hybrid position and can be based in our Long Island office. Primary Responsibilities
• Review, analyze, negotiate, implement, and maintain existing contracts with an understanding of professional rate schedules and contractual language.
• Identify network development opportunities through financial analysis, client requests, and product development.
• Define performance improvement opportunities.
• Implement new and evolving strategic contract initiatives including alternative payment methodologies, e.g. bundling, value-based payment, pay for performance.
• Analyze reports on cost, utilization, claim submission patterns and outcomes. Prepare presentations on subsequent findings.
• Develop, implement, and support the ongoing efforts to build new network solutions and deploy solutions as appropriate.
• Assist in resolution of provider issues, including root cause analyses, mediation between parties, and strategic relevance to the organization and its clients.
• Partner with different areas for outstanding payments, medical management, and provider policy.
• Other duties and projects as assigned and specified by supervisor in line with department and company needs. Essential Qualifications
• Minimum 5 years in a provider or hospital administration role.
• Strong understanding of contract language.
• Strong understanding of professional provider cost structures and reimbursement methodologies.
• Sound knowledge of healthcare contracting.
• Demonstrated analytical & negotiation abilities, with excellent communication and presentation skills.
• Ability to multi-task.
• Organized and methodical.
• Customer service skills.
• Proficiency in Excel. Preferred Qualifications
• 5 years in a provider contracting role with existing market relationships.
• Experience in financial or actuarial modeling.
• Expert proficiency in Excel.
• SQL and access experience.
• Understanding of provider experience and clinical operations.
• Revenue cycle management.
• Master’s Degree.
About
At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.
Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.
Come be a part of the Brightest Ideas in Healthcare™.
Company Mission
Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.
Company Vision
Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: View email address on us.fitly.workVacancy posted a month ago
Similar jobs that could be interesting for youBased on the Contract Manager in Westbury, NY vacancy
- ...About The Role BHPS is seeking a Contract Manager responsible for the contracting and maintenance of the relationship with network health systems in their assigned territory or specialty. This also includes the recruitment, and management of the provider network inclusive...SuggestedContract workWork at officeLocal areaFlexible hours
Brighton Health Plan Solutions
Levittown, NY3 days ago $90k - $120k
Project Procurement Manager We are looking for a Project Procurement Manager located in our Westbury, NY facility. In this role you will... ...and establish framework agreements with key suppliers. Develop contract strategies, including multi-year agreements where appropriate,...SuggestedContract workWork experience placementLocal areaRemote work- Government Contract Administration Manager About the job Government Contract Administration Manager Locations available are Melville, NY and Arlington, VA. Responsibilities: Manages the Business Information Communications Group (BICG) Marketing Operations bid team and contract...SuggestedFull timeContract workFor subcontractorLocal area
- Long Island Power Authority (LIPA) is seeking an IT Budget Analyst to join our team in New York. This role focuses on budgeting for IT projects, financial oversight, and procurement support to ensure regulatory compliance and value delivery. The successful candidate will...Suggested
Professional Diversity Network
Uniondale, NY4 days ago $100k - $130k
...Job Description Job Description Senior AV Project Manager – Commercial & Residential AV Integration Location: Westbury, NY... ...Manage multiple commercial and residential AV projects from contract award through project completion. Develop project schedules...SuggestedContract workFor contractorsFor subcontractorWork at officeSBDWW
Westbury, NY27 days ago$60k - $70k
...support for unexpected life events • SmartDollar: Free financial education and budgeting platform for employees Your Role: Sales Manager As a Sales Manager, you will be responsible for leading, developing, and managing the performance of the sales team. You will...Full timePart timeWork at officeFlexible hoursDay shift2 days per weekAshley Northeast
Garden City, NY17 hours ago$80k - $95k
...Description Job Description: Title: Senior Account Manager - Commercial Lines Hybrid Preferred: 1-2 days in Columbia, SC office OR Fully Remote : for applicants in Eastern and Central Time Zones Book Focus: Generalist, Contractors | Requirement:...For contractorsRemote workInsurance Office of America
Hempstead, NY17 hours ago$82.6k - $162.8k
...experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Regulatory Reporting Manager you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel....Local area$137k - $206k
...emphasis on Crypto operations. The role demonstrates expertise in managing applications, crypto trading platforms, market infrastructure,... ...-level understanding of distributed ledger technology, smart contracts, tokenization, and various crypto products, including their...Temporary workLocal areaNight shiftFINRA
Jericho, NY4 days ago- ...and you do the right thing - always.YOU'D BE GREAT FOR THIS ROLE IF:You love AE and Aerie products!You've led teams in a retail management role previously - #practicemakesperfect!You can multi-task and have attention to detail; priority-setting and time management are...Full timePart timeCasual workSeasonal workLocal areaFlexible hoursShift work
$17 - $19 per hour
...is responsible for driving profitability and efficiency. The Operations Associate will work closely with the Operations & Visual Management team in initiating, completing work, and providing feedback to the team to achieve optimal results supporting total store operations...Full timeWork experience placementLocal areaShift workWeekend workAlo Yoga
Garden City, NY17 hours ago$60k - $80k
...most affected and to improve the lives of those living with and without HIV infection. Job Summary The Assistant Research Project Manager performs routine assignments related to scientific research projects. Ensures compliance of research activities with institutional,...Work experience placementWork at officeUniversity of Chicago
New Hyde Park, NY1 day ago- ...JOB SUMMARY As an Enterprise Implementation Project Manager, you are passionate about our customers, solutions, and industry. The ideal candidate is highly accountable, has proven customer-facing experience, has managed an extensive portfolio of projects, and thrives in...For subcontractor
Micro Merchant Systems
Uniondale, NY17 hours ago - ...Job Description Looking for an experienced Business Analyst/Project Manager who will be responsible for understanding and assessing the changing needs of the business, analyzing the impacts of change, documenting and supporting communication between relevant groups and...Temporary workWork experience placementWork at office
PMO Partners
Jericho, NY3 days ago - ...Project Manager for Epic Systems Revenue Cycle We are seeking a highly skilled and experienced Project Manager to join our Project Management Office (PMO) within the IT department. The ideal candidate will have extensive experience in front and back-end revenue cycle workflows...Temporary workWork at officeRemote work
Socket
Hicksville, NY4 days ago - ...Guidewire Project Manager Locations: New York City, NY; Purchase, NY; Garden City, NY; Morristown, NJ; Conshohocken, PA; Charlotte, NC; Alpharetta, GA Work schedule - 9 am-5 pm EST Office 3 times per week Must have skills: Commercial Insurance Guidewire...Work at office
Damco
Garden City, NY3 days ago - ...Sales Manager Location: Hicksville, NY Employment Type: Full-Time About the Role We are seeking an experienced and results-driven... ...corrective actions. Standardize proposal, quoting, and contract management processes. Business Development & Revenue Growth...Full timeContract work
Lincoln IT
Hicksville, NY6 hours ago $22 - $25 per hour
...and our business goals. What’s the role about? Join our dynamic team at our Bloomingdale's Roosevelt Field location as a Sales Manager. In this pivotal role, you’ll support the management team, ensuring team members are motivated to achieve targets and maintain a safe...Reiss
Garden City, NY2 days ago$70k - $90k
...Commercial Lines Real Estate Account Manager A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect...Immediate startFlexible hours$84.3k - $173.3k
Position Summary Deloitte US Chinese Services Group (CSG) - Project Management Senior Consultant About US CSG Established in 2003, the Deloitte US Chinese Services Group (CSG) aims to advise multinational companies operating in China. Working across the Deloitte...Work at officeLocal areaVisa sponsorship$66.3k - $70k
...A prestigious educational institution in Town of Hempstead is seeking a Program Manager for Ambulatory Clerkships and Clinical Skills. The role involves planning, organizing, and evaluating program activities, managing faculty processes, and ensuring effective program...Hofstra Medical Legal Partnership
Hempstead, NY4 days ago- ...with clients to address all servicing needs Processing of policies, endorsements, and audits Enter policy data into our client management system Order loss runs for re-marketing accounts Become proficient in carrier web-sites for quoting when remarketing an account...Immediate start
$47k - $52k
...excellence and a relentless pursuit of growth. Position Overview We are seeking an experienced and client-focused Commercial Lines Account Manager to join our growing Commercial Lines team. This role is responsible for managing the day-to-day service needs of assigned...Full timeTemporary workWork at officeLocal areaFlexible hours- ...License | Designations* Independent insurance agency is seeking an experienced Commercial Lines Account Executive to grow, service and manage a book of commercial lines accounts. This is a client facing role responsible for new business sales and growth of existing...Work at office
- ...and cybersecurity; biology, health professions, and medicine; architecture and design; engineering; IT and digital technologies; management; and energy and sustainability. A nonprofit, independent, private, and nonsectarian institute of higher education founded in 1955...Work at officeLocal areaWorldwide
$151.8k - $265.6k
Position Summary Manager - Capital Markets Operations and Technology Our Enterprise Operations & Risk offering enables clients to achieve profitable growth and competitive advantage by optimizing “heart of the business” operations. We leverage deep domain expertise...Work at office- ...Job Description Job Description Schivo Medical is a contract manufacturer on Long Island. We produce machined parts such medical... ...Director, this role will be responsible for the cost-effective management and supply of assigned materials and components across a global...Contract workWork experience placementWork at office
Schivo Medical
Plainview, NY17 days ago $18 - $30.2 per hour
Whole Foods Market IP. L.P. in the Town of Oyster Bay, NY seeks a Supervisor for the WFMOA: E-Commerce team. This role involves ensuring safety, quality, and productivity while supporting the E-Commerce team. Candidates should have a high school diploma and at least 6 ...Hourly payWhole Foods Market IP. L.P.
Hicksville, NY2 days ago$19 - $28 per hour
...person, one family and one community at a time.Position SummaryAn Operations Supervisor is a key leader supporting the CVS Store Management team in planning and driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent...Hourly payFull timeSeasonal workLocal areaFlexible hoursShift workNight shiftWeekend workDay shiftEarly shiftCVS Health
Mineola, NY2 days ago- ...to simplify everyday life and help protect what matters most. Our global teams span engineering, manufacturing, software, product management, supply chain, customer experience, and more — all working together to shape the future of connected living through innovation,...Work at officeRemote workWork from homeWorldwide
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Contract Manager. Be the first to apply!
