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Providence Health & Services Provider Contract Manager in Torrance, California

Description:

Providence is calling a Provider Contract Manager, (Full Time, Day Shift) to Providence California Regional Services in Torrance, CA

We are seeking a Provider Contract Manager who will be responsible for leading or participating as a team member in negotiations with Payors for acceptable reimbursement terms and contract language for all entities within the continuum of care (i.e. hospitals, physician organizations, home health and hospice services) within the applicable PH&S Region (the Region) for the payors assigned to them. Payors include the revenue primarily associated with Commercial, Medicare Advantage, and managed Medicaid products. This includes development of negotiation strategy and securing acceptable terms, problem resolution, and obtaining applicable support of leaders within the Service Area, Regional, System, and/or with strategic partners, such as ACO's and Joint Ventures. This position is responsible for developing and maintaining positive working relationships between payors and the Providence organization. Acts as liaison between Health Plan's, Physician Group's, and other related payor organizations to ensure all aspects of payor relationships are managed effectively. Works with applicable leadership to respond to opportunities for improvement in contract terms, rates and structure. Communicates and educates applicable staff regarding key aspects of new and modified payor contracts and Health Insurance products. The incumbent performs all duties in a manner that promotes Providence mission, values, and philosophy. In all aspects, he/she serves as a role model for the values and mission of the organization.

In this position you will:

  • Prioritize and manage multiple initiatives in a fast paced, changing environment

  • Maintain positive morale and being a team player

  • Successfully manage multiple contract negotiations and initiatives simultaneously

  • Have the ability to close contract negotiations and/or complete projects that are accurate, with successful results, and within requested or necessary timelines

  • Maintain self-knowledge and proficiency to adapt to market trends and PH&S initiatives

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree in Business Administration, Healthcare Administration, Finance, Accounting, or equivalent combination of education and/or work experience

  • 4 years related experience in contract negotiations, financial management, or related field

  • Excellent presentation and writing skills

  • Excellent listening and negotiation skills

  • Attention to detail

  • Ability to present recommendations and/or decisions and persuade others, as necessary, with tact and diplomacy

  • Ability to think strategically and to understand the business impact of key contract terms

  • Ability to establish positive woring relationships at all levels of the organization and with external parties

  • Willingness to perform both independently on micro functions as well as cooperatively on macro projects

  • Ability to independently manage work assignments, prioritize, and meet tight deadlines, while exercising sound judgment

  • Actively seek constructive feedback, and remain open and receptive to it

  • Ability to adapt and accomplish objectives in a complex, changing work environment

About the hospital you will serve.

Anchored by five award-winning comprehensive medical centers, Providence provides a full spectrum of care that includes a range of specialties, signature services, outpatient and home care and the well-regarded Providence Medical Institute, a group of physicians and primary and urgent care clinics throughout the greater San Fernando Valley and South Bay. Providence is focused on providing the communities it serves with preventive care, education and leading-edge diagnostics and treatment. The organization includes numerous outreach programs. Hospice and home care and even our own Providence High School, a Blue Ribbon college-preparatory campus.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Analytics/Business Intelligence

Location: California-Torrance

Req ID: 250281

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