Jobtree Logo small
Posted
2 weeks 4 days ago

To see more jobs like this as they come available

Visit the Career page to search more jobs now

Scroll to the bottom to apply

Job Description

(click to see jobs for roles related to this one)

* This is a Short Term Employment opportunity that has the ability to be employed up to a maximum of 3 years* Your Role The Provider Contracting team is responsible for contract negotiations, coordination, and ongoing support and interpretation of contracts for both internal and external partners. The Provider Contracting Specialist, Consultant will be responsible for negotiating provider agreements and accountable care collaboration agreements with medical groups/IPAs, hospitals, and ambulatory surgery centers. Reporting to the Director, Provider Contracting & Provider Relations, this role will drive strategic initiatives to support Blue Shield of California's objectives to achieve growth and maintain strong market position and positive reputation in the market. Your Work In this role, you will: * Negotiate all product (commercial, Medicare, and Medi-Cal) provider agreements with medical groups/IPAs, hospitals, freestanding ambulatory surgery centers and accountable care collaboration agreements * Participate in cross-functional team to implement initiatives to help manage the total cost of health care across the assigned region * Collaborate closely with Medical Management, Provider Relations, Network Analytics, and Sales to meet aggressive regional goals * Drive alignment with Pricing, Underwriting, and Sales regarding unit cost and other contracting activities * Identify strategic opportunities within local market (i.e., network expansion opportunities, utilization, or unit cost excesses, etc.) * Assess market trends and competitive benchmarks to enhance company's market position * Conduct extensive investigation and apply critical thinking to understand root functions and/or businesses to develop new perspectives and innovative approaches on existing or new problems, and communicate with external customers and vendors on new concepts, practices, and approaches * Take responsibility for managing large, complex project initiatives of strategic importance to the organization, involving cross-functional teams * Frequently be responsible for providing guidance, coaching, and training to other employees across the company within area of expertise * Communicate with executive leadership regarding matters of significant importance to the organization, including writing comprehensive executive summaries

Use the apply button below to start the application on our partner site.

Apply on employer site
Find more jobs like this using our Career Search Tool.
Need help with your career search including preparing your resume, networking, company research or even figuring out what kind of job you want? Check out our other career resources.
Need help finding more jobs that might be a good fit for your experience?Click here to evaluate your fit across all the roles on our site at once