Provider Contracting Counsel
Job Description
Job Description
Blue Cross and Blue Shield of Vermont is looking for a Provider Contracting Counsel to join our Provider Contracting department. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced, flexible workplace, a competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, fitness and wellness programs, an onsite gym, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.
REMOTE WORK: Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. We are only hiring Vermonters for this role.
COMPENSATION: The base salary range for this position is $100,000-$115,000. Additional compensation opportunities and incentives will be detailed during the interview process. Please note that the range listed above is our good faith estimate of the hiring range for this role. If you are hired at Blue Cross and Blue Shield of Vermont, your final base salary compensation will be determined based on factors such as skills, competencies, education, experience, and internal equity across the current team. We also offer a robust benefits package with significant value (see below).
Provider Contracting Counsel 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.
Provider Contracting Counsel Qualifications:
- 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, negotiating contracts preferred.
Provider Contracting Counsel 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
Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experience, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at http://www.bluecrossvt.org/about/diversity-equity-and-inclusion.
*Full job description attached to ADP job posting.