Provider Contracting Counsel

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, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.

LOCATION: 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. 

Provider Contracting Counsel Responsibilities:

• Prepare and review all facility, professional, and ancillary provider contracts.  Assist in negotiation of contract terms with providers as necessary.
• Review and interpret state and federal statutes and regulations that impact the contracting process.
• Serve as the lead for 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

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

*Full job description attached to ADP job posting.