Managed Care Payor Relations and Contracting Representative


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Berkshire Health Systems
742 North Street

Phone:(413) 447-2784

Company Description:
Berkshire Health Systems offers individuals the opportunity to work in an environment where they will be challenged, supported, and respected. As the region’s leading provider of comprehensive healthcare services, our employees are affiliated with an award winning teaching hospital, dedicated colleagues, and world class technology. The BHS family is proud to deliver the kind of advanced healthcare most commonly found in large metropolitan centers.

Managed Care Payor Relations and Contracting Representative
To Commensurate With Experience
Full Time
Healthcare/Healthcare Professional
Bachelor's Degree

*Possibility for remote work available* 

This position is responsible for supporting the Director of Contracting Services which includes both Managed Care Contracting, Payer Relations and Enrollment on all aspects of Managed Care Contracting & Payor Relations issues for the Health System.   In addition to assisting in the evaluation and negotiation of all financial and non-financial terms, the analyst works closely with other Health System departments to maximize operational efficiency in the administration and revenue maximization of all managed care contracts.

  • POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)
    • Experience:
      • 1 year of finance experience including utilizing some combination of general and/or cost accounting, budget, or financial analysis required.
      • Previous experience in a managed health care environment with a thorough knowledge of the health care market and the needs/concerns of a health care system preferred.
      • ­­­Some knowledge of Payor Relations /Contracting structures/processes preferred.

    • Education and Training:
      • Bachelor’s Degree in Accounting, Finance or Business Administration required.
      • Advanced proficiency in computer applications, the full range of Microsoft Office Suite programs.
    • License, Certification & Registration:
      • N/A
    • Other Requirements:
      • Requires a high level of initiative, sound judgment, and the ability to meet deadlines.
      • Must be able balancing multiple priorities and utilizing resources appropriately.
      • Requires the ability to work independently and to take direction from manager with health plans to analyze complex data, identify opportunities for improvement and facilitate resolutions which will have a positive affect on the Health System.
      • Must be able to exercise appropriate judgment as necessary and raise issues to the appropriate level.
      • Requires strong verbal and written communication skills to effectively communicate both detail and at a summary level to all levels of management.
      • Ability to present technical information in a way that establishes rapport, persuades others and gains understanding.
      • Excellent team and relationship building skills are essential.
      • Requires the ability to independently analyze and resolve complex financial and contractual issues.
      • Requires the ability to coordinate efforts amongst various departments at the Health System.
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