Negotiate and manage contracts and network rates with third-party payors, monitor contract performance and compliance, prepare business reviews and financial analyses, serve as account SME, coordinate redlines with Legal, resolve account issues, and support senior contract managers and special projects. Travel to maintain stakeholder relationships.
Contract with accounts by negotiating network rate, guarantees, contract language, services, and individual networks. Execute negotiation strategy, understanding key results hoped to gain from negotiation, data needed to support negotiation position, and reporting showing contract compliance and overall performance. Maintain key account relationships troubleshooting issues, performing regular business reviews ensuring business is performing as expected and terms of the agreement are followed. Serve as SME with regard to contracts they have been assigned providing information to internal departments as needed. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.
Responsibilities- Support senior contract manager with negotiating network rates, guarantees, contract language, services, and individual networks
- Execute negotiation strategy, key results hoped to gain from negotiation, levers to pull and data needed to support negotiation position
- Communicate negotiation updates with key leaders receiving direction for next steps and execute accordingly
- Conduct initial business, redline of agreements and work with Legal & Compliance during the redline process, including ability to distinguish business decisions from legal decisions and bring the appropriate parties together to make such decisions
- Review performance against contract, BER/GER tracking, and performance to clawback DIR fees
- Compare results with available benchmark data, summarizes key findings sharing with key leaders; proactively communicate BER/GER performance to accounts assigned
- Prepare presentations for quarterly business reviews, provides internal facilitates meetings, tracks action items and sends follow up notes as needed to memorialize conversations
- Work with reporting and analytical team to understand financial implications of contracts and financial value of changes
- Prepare counteroffers, obtains necessary approval prior to sharing externally
- Communicate financial impacts to peers and other functional areas for modeling/tracking purpose
- Review financial reports, quarterly earnings calls, press releases, and other reports to keep informed of information that may impact the relationship or profitability of the relationship; summarize/share findings for key leaders
- Serve as Subject Matter Expert (SME) of the account, providing information as requested by internal departments
- Resolve account complaints, in support of division efforts to drive growth with business initiatives
- Assist with special projects as assigned
- Travel to foster successful relationships with internal/external stakeholders
- Must be able to perform the essential job functions of this position with or without reasonable accommodation
Qualifications Minimum
- Associate Degree
- 2+ years of contracting experience
- Strong negotiation skills and ability to influence others
- Ability to successfully manage others
- Strong familiarity with Third Party Payor industry/technical terms and processes
- Demonstrated ability to maintain confidentiality and protect sensitive information
- Ability to develop strong relationships and effectively communicate with all levels of the organization and external partners
- Ability to balance strategic thinking and attention to detail
Desired
- Bachelor's Degree
- Any project management experience
- 2+ years of experience redlining documents
- 2+ years of analytical experience
- 2+ years of lead pharmacy technician experience
- 2+ years of experience billing third-party claims in a pharmacy
- Execute negotiation strategy, key results hoped to gain from negotiation, levers to pull and data needed to support negotiation position
- Communicate negotiation updates with key leaders receiving direction for next steps and execute accordingly
- Conduct initial business, redline of agreements and work with Legal & Compliance during the redline process, including ability to distinguish business decisions from legal decisions and bring the appropriate parties together to make such decisions
- Review performance against contract, BER/GER tracking, and performance to clawback DIR fees
- Compare results with available benchmark data, summarizes key findings sharing with key leaders; proactively communicate BER/GER performance to accounts assigned
- Prepare presentations for quarterly business reviews, provides internal facilitates meetings, tracks action items and sends follow up notes as needed to memorialize conversations
- Work with reporting and analytical team to understand financial implications of contracts and financial value of changes
- Prepare counteroffers, obtains necessary approval prior to sharing externally
- Communicate financial impacts to peers and other functional areas for modeling/tracking purpose
- Review financial reports, quarterly earnings calls, press releases, and other reports to keep informed of information that may impact the relationship or profitability of the relationship; summarize/share findings for key leaders
- Serve as Subject Matter Expert (SME) of the account, providing information as requested by internal departments
- Resolve account complaints, in support of division efforts to drive growth with business initiatives
- Assist with special projects as assigned
- Travel to foster successful relationships with internal/external stakeholders
- Must be able to perform the essential job functions of this position with or without reasonable accommodation
Qualifications Minimum
- Associate Degree
- 2+ years of contracting experience
- Strong negotiation skills and ability to influence others
- Ability to successfully manage others
- Strong familiarity with Third Party Payor industry/technical terms and processes
- Demonstrated ability to maintain confidentiality and protect sensitive information
- Ability to develop strong relationships and effectively communicate with all levels of the organization and external partners
- Ability to balance strategic thinking and attention to detail
Desired
- Bachelor's Degree
- Any project management experience
- 2+ years of experience redlining documents
- 2+ years of analytical experience
- 2+ years of lead pharmacy technician experience
- 2+ years of experience billing third-party claims in a pharmacy
Similar Jobs
Artificial Intelligence • Cloud • Computer Vision • Hardware • Internet of Things • Software
Owns sales compensation policy strategy, crediting frameworks, exception governance, audits, and field enablement. The role manages compensation policies across draws, transfers, promotions, terminations, clawbacks, renewals, overlays, splits, and non-standard deals. It partners with sales and cross-functional leaders, documents decisions, improves governance controls, and translates recurring exceptions into policy and plan changes.
Top Skills:
AIBigQueryClaudeGoogle SheetsSalesforceTableauXactly
.png)
Food • Software
Own GTM performance analytics, KPI and target setting, reporting, forecasting, compensation planning, and performance reviews across Sales and Post-Sales. Identify anomalies and optimization opportunities involving conversion, churn, productivity, pricing, packaging, segmentation, channel economics, and customer quality. Partner with Finance and GTM leaders to develop recommendations, lead strategic initiatives, and ensure data integrity while translating analysis into actionable business decisions.
Top Skills:
GongHubspotOutreachSalesforceSQL
Automotive • Big Data • Information Technology • Robotics • Software • Transportation • Manufacturing
Supports compensation operations in Workday and related HR systems by maintaining data, generating reports, conducting audits, testing system updates, and supporting annual and off-cycle compensation cycles. Coordinates documentation, meetings, trackers, templates, and leadership materials. Identifies data discrepancies, resolves issues, escalates risks, and contributes to process improvements, reporting enhancements, and administrative workstreams while maintaining confidentiality and data accuracy.
Top Skills:
ExcelMS OfficeMicrosoft ProjectPowerPointSharepointWorkday
What you need to know about the Boston Tech Scene
Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.
Key Facts About Boston Tech
- Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
- Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
- Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
- Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories
