Senior Managed Care Contract Leader

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Full Time - 30 hours or more Westwood, MA, US

Salary Range: $ To $ Annually

Provider-Centered. Patient-Focused. Built for What Healthcare Should Be.

At Bookmark Medical, we are building a healthcare experience rooted in trust, teamwork, compassion, and continuous progress. We believe the best care happens when providers and care teams have the support, technology, and resources they need to focus on what matters most—patients.

Our mission is simple: improve lives through high-quality continuous care. Through connected care teams, innovative tools, and collaborative culture, we are creating a healthcare experience where patients are known, supported, and never have to start over.

Whether you are caring directly for patients, supporting operations, or helping grow our organization, you will join a team that values your expertise, encourages your growth, and empowers you to make a meaningful impact every day.

If you are looking for more than just a job, if you are looking for a purpose-driven career where your work truly matters, we would love to meet you.

Position Summary

The Contract Manager is responsible for the negotiation, implementation, and ongoing management of managed care agreements on behalf of the Bookmark Medical’s provider network. This role manages both fee-for-service (FFS) and value-based care (VBC) arrangements and serves as a key point of contact between the organization, health plan partners, and internal operational teams.

The Contract Manager will assist in managing payor negotiations, evaluate reimbursement and contractual terms, coordinate contract implementation, and resolve operational issues affecting contract performance. The successful candidate will have demonstrated managed care negotiation experience, strong knowledge of provider reimbursement, and experience working with value-based arrangements.

Managed Care Contracting & Negotiation

• Manage negotiations for new agreements, renewals, amendments, and reimbursement changes with health plan partners related to Commercial, Medicare Advantage, and Medicaid lines of business.
• Negotiate fee-for-service reimbursement, including physician fee schedules, percentage-of-Medicare arrangements, and other reimbursement methodologies.
• Evaluate payer proposals and reimbursement terms to determine financial and operational impact.
• Develop negotiation positions and supporting analyses using reimbursement data, market information, organizational performance, and other relevant information.
• Review and negotiate key contractual provisions related to reimbursement, payment policies, term and termination, claims, timely filing, audits, over payments, dispute resolution, and other material terms.
• Maintain productive relationships with payer contracting and network management representatives.

Value-Based & Risk Contracting

• Negotiate and manage value-based arrangements, including quality incentives, shared savings, shared risk, total cost of care, capitation, and other risk-based models.
• Evaluate key components of value-based arrangements, including financial benchmarks, trend, risk adjustment, attribution, quality measures, risk corridors, stop-loss provisions, and settlement methodologies.
• Partner with Finance, Analytics, Quality, Population Health, and operational teams to monitor contractual performance and identify opportunities or areas of concern.
• Review payer performance reports and settlement calculations for consistency with contractual requirements.
• Assist in evaluating new value-based opportunities and determining their financial and operational implications.
• Work with payer partners to resolve discrepancies involving attribution, financial performance, quality results, or settlement calculations.

Contract Implementation & Operations

• Serve as a primary point of contact for operational issues related to managed care agreements.
• Coordinate implementation of new contracts, amendments, reimbursement changes, and value-based arrangements across applicable internal departments.
• Partner with Revenue Cycle, Credentialing, Finance, Analytics, Operations, and other teams to ensure negotiated terms are implemented accurately.
• Manage and resolve payer issues involving claims reimbursement, fee schedules, provider loading, credentialing, eligibility, products, attribution, reporting, and other…