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Point32Health Contract Manager, Allied Health Contracting in Canton, Massachusetts

Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities.

Job Summary

Under the direction of the Point32Health Manager, Allied Health Contracting, the Contract Manager, Allied Health Contracting negotiates and manages contracts with ancillary service providers and network vendors with particularly complex provider and/or reimbursement issues. Key activities include determination of network needs, evaluation of prospective providers, development of reimbursement strategies, and contract negotiation and administration. The Contract Manager must maintain industry-specific knowledge and relationships with key providers and industry groups. This individual serves as a mentor and resource to Associate Contract Managers on the team, and also may supervise 1-3 Associate Contract Managers.

Key Responsibilities/Duties – what you will be doing


  • Develops, negotiates, executes and manages provider contracts for services with complex provider and/or reimbursement issues. Participates in all operational aspects of contractual agreements. Develops and maintains key provider relationships.

  • Collaborates with analytic staff to develop medical budget, evaluate cost trends, and formulate reimbursement models and/or program design. Monitors marketplace trends and new reimbursement methodologies.

  • Evaluates the demand for assigned services and identifies areas of network deficiencies or increased service demand for network expansion. Determines the unique service capabilities of providers in the network. Designs and implements tools for communicating these capabilities to other departments and membership.

  • Identifies, evaluates, and implements new programs for improving medical cost management and/or administrative efficiency.

  • Represents Allied Health Services in internal and external meetings. Prepares and delivers presentations to partner departments and industry forums.

  • Serves as mentor and resource to Associate Contract Managers on team. May be required to directly supervise 1-3 Associate Contract Managers.

Qualifications – what you need to perform the job


Undergraduate degree required, with master’s degree preferred


5-7 years related experience in a managed health care environment, with a thorough knowledge of the health care market and the needs/concerns of health care providers


  • Effective communication and presentation skills, both verbally and in writing

  • Contract negotiation experience is desirable, with ability to understand and interpret all aspects of a contract: financial, legal, and operational with emphasis on implementation of contract terms

  • High degree of initiative and result-orientation, and ability to deal effectively with ambiguous situations

  • Proven time management and organizational skills, and ability to work independently and prioritize multiple demands

  • Ability to understand the nuances of Tufts Health Plan’s commercial and Medicare Preferred product lines and the unique operational and financial features associated with each

  • Ability to lead and motivate others by fostering an attitude of cooperation and commitment, as well as capacity of liaison and negotiator

  • Strong financial/analytical skills and problem-solving ability, with the ability to research, interpret, and communicate complex issues

  • High degree of professionalism and confidence, including the ability to recognize politically sensitive issues, utilize diplomacy, and interact effectively with all levels of personnel

  • Excellent computer skills, including proficiency in Microsoft Word, PowerPoint, and Excel


Business professional environment. Periodic travel to local offsite locations.

CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Tufts Health Plan is considered confidential. Exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy, department guidelines/policies and all applicable laws and regulations at all times.



Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity

​Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

At Point32Health, we strive to be a different kind of nonprofit health and well-being company, with a broad range of health plans, and innovative tools that make navigating health and well-being easier, guiding our members at every step of their health care journey to better health outcomes. We are committed to providing high-quality and affordable health care, improving the health and wellness of our members, and creating healthier communities across the country. The Point32Health name is inspired by the 32 points on a compass. It speaks to the critical role we play in guiding and empowering the people we serve to achieve healthier lives. Our employees are hard-working, innovative, and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England.