Manager, Provider Contracting

Blue Cross of Idaho is seeking a Manager, Provider Contracting who will be responsible for the management, operation, direction, organization, and administration of provider contracts and team members. This person will ensure that the provider contracts optimize strategic opportunities leading to cost effective healthcare for our members.

This position reports to the Director, Provider Network Management and is located at our Meridian, Idaho campus offering a hybrid work schedule.

We are looking for a candidate with:

Experience: 7 years’ provider contract/network management, provider reimbursement methodologies, contracting, negotiation, or relevant experience

Education: Bachelor’s Degree or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college)

What a day of a Manager would look like:

• Guides and coaches’ staff in contract negotiation processes.
• Manages relationships with providers and internal business partners.
• Develops and maintains cost-effective network of contracted providers.
• Trains, and mentors contracting staff in the management and implementation of contracts and the performance of these agreements.
• Ensures effective workflows and maximizes system efficiencies. Makes recommendations for changes.
• Leads complex contract implementation projects.
• Creates innovative payment methodologies that align the incentives of healthcare providers with outcomes based, cost effective healthcare.
• Identifies strategic opportunities for standard and/or complex contracts to increase cost savings and monitors successful financial performance.
• Manages, formulates, analyzes, coordinates, and negotiates contracts with professional and ancillary providers
• Manages contracting process, contract negotiations, execution, and implementation of contract and payment methodologies.
• Improves provider network efficiencies through the identification of cost and quality outliers.
• Performs other duties and responsibilities as assigned.

As of the date of this posting, a good faith estimate of the current pay range is $115,898 to $173,846.  The position is eligible for an annual incentive bonus (variable depending on company and employee performance.

The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, internal equity, geography, business or organizational needs, and alignment with market data.  At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position.  Compensation decisions are dependent on factors and circumstances at the time of offer.   

We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.   

We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.   

Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.