Provider Contracting Counsel jobs in United States
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Blue Cross and Blue Shield of Vermont · 20 hours ago

Provider Contracting Counsel

Blue Cross and Blue Shield of Vermont is looking for a Provider Contracting Counsel to join their Provider Contracting department. The role involves preparing and reviewing provider contracts, interpreting relevant statutes and regulations, and providing legal support related to provider contracting issues.

Health CareNon Profit
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Comp. & Benefits
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Responsibilities

Prepare and review all facility, professional, and ancillary provider contracts, amendments and delegation agreements, including negotiating contract terms. Assist in negotiation of contract terms with providers as necessary
Review and interpret state and federal statutes and regulations that impact the provider/payer relationship and contracting process
Participate in payment policy development and maintenance
As needed, assist the General Counsel with provider-related matters including assistance with litigation discovery, research, or monitoring ongoing developments in the federal or state realm
Contribute to the development and maintenance of credentialing, quality, medical, and operational policies as it relates to the provider network
Provide accurate and timely legal support to all departments regarding provider contracting issues

Qualification

J.D. from accredited law schoolVermont Bar membershipContract drafting experienceNegotiating contractsHealth care expertiseLegal supportPolicy development

Required

J.D. from an accredited law school and member of the Vermont Bar
3-5 years practicing law in a law firm or corporate legal department, or an equivalent combination of health care or insurance expertise and law firm or corporate legal department experience
Experience working with and drafting contracts required

Preferred

Negotiating contracts preferred

Benefits

Health insurance (including vision)
Dental coverage (free to employees)
Wellness Program
401(k) with employer match + automatic employer contribution
Life Insurance
Disability Insurance
Combined time off (CTO) – 20 days per year + 10 paid holidays
Tuition Reimbursement
Student Loan Repayment
Dependent Caregiver Benefits

Company

Blue Cross and Blue Shield of Vermont

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Located on a scenic hillside in the central Vermont community of Berlin, Blue Cross and Blue Shield of Vermont has been a primary part of Vermont’s health care system for more than 30 years, providing thousands of Vermonters with health benefits and services.

Funding

Current Stage
Growth Stage

Leadership Team

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Ruth Greene
VP, Treasurer & CFO
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Margaret Pinello-White, SHRM-SCP
Vice President & Chief Administrative Officer
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Company data provided by crunchbase