Senior Provider Network Account Executive
Senior Provider Network Account Executive
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1 Vacancy
Job Description
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 notforprofit we support patient care research teaching and community service striving to provide exceptional care. We believe that highperforming 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
This is a hybrid role. It will require an onsite presence at the office in Assembly Row Somerville MA at least 1x/month (for team meetings meetings with providers and external forums).Responsible for managing relationships with MGB providers to ensure quality care and costeffective services for patients which includes training/educating providers. A strong understanding of claims is highly preferred.
Essential Functions
Develop and maintain relationships with healthcare providers including hospitals clinics and physician groups.
Negotiate contracts and rates with healthcare providers to ensure costeffective 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.
Qualifications
Education
- Bachelors Degree required and Masters Degree preferred
Experience
- At least 57 years of experience in healthcare provider network management or related field
- At least 35 years of experience in Senior role required
Knowledge Skills and Abilities
- Strong understanding of healthcare provider networks and regulatory requirements.
- Excellent communication and negotiation skills.
- Strategic planning and problemsolving 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.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half PeopleFocused half PerformanceFocused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
Senior IC
Employment Type
Full-Time
