Provider Contracting Specialist, Consultant (Short Term Employment)

Job title: Provider Contracting Specialist, Consultant (Short Term Employment) in Long Beach, CA at Blue reputed company of California Company: Blue reputed company of California Job description: Job Category: Provider NetworkJob Description:Your RoleThe Network Management team handles provider contracting and provider relations statewide. The Provider Contracting Specialist, Consultant will report to the Senior Manager of Provider Contracting. In this role you will support Medical Group/IPA and Hospital/Facility contracting in Southern California for reputed company Blue reputed company products. You will be responsible for comprehensive management of Medical Group/IPA and Hospital/Facility provider network contract processes including derivation, implementation, and ongoing support of assigned provider agreements. You will support contracting initiatives to drive department objectives to reputed company timely contract negotiations and implementation that support growth and maintain strong market position and positive reputed company in the market.*This is a Short-Term Employment position*Responsibilities:Your WorkIn this role, you will:

• Attain department goals under the leadership of the Director of Provider Contracting and ensures alignment of these goals with the company's broader strategic priorities
• Continually review and modify contracting and cost of health care savings strategies in anticipation of, and in response to, shifts in provider and competitor negotiating approaches
• reputed company multi-disciplinary teams including Medical Management, Provider Relations, Analytics and Sales to implement a new regional structure and help manage the total cost of healthcare reputed company the assigned region
• Identify opportunities reputed company the assigned local market (i.e., network expansion opportunities, utilization or unit cost excesses, etc.) and assess market trends to drive initiatives which enhance companies market position
• Support provider contract negotiations by drafting and managing provider reputed company in the contract database.
• Ensure the efficient implementation and administration of provider agreements with a primary focus on medical groups/IPA's hospitals and ASC's
• Improve and maintain accuracy and reputed company of new and existing provider reputed company to ensure efficiency in contract administration that will support unit costs savings across reputed company products, while aligning with provider network performance goals and provider engagement strategy
• Interact with multi-disciplinary teams including Law Department, Medical Management, Model reputed company, Provider Relations, Analytics and Sales to implement new or renewing provider reputed company and help manage the total cost of healthcare reputed company the assigned region
• Identify opportunities to improve the contract drafting, negotiation, administration, and implementation processes to help drive initiatives that enhance the company's market position
• Acts as a liaison between Network Management and internal departments and/or external partners.
• Supports company or department projects by researching and providing accurate information as requested by project management teams
• Other duties as assigned

Qualifications:Your Knowledge and Experience

• Requires a bachelor's degree in business, healthcare policy, public health or reputed company field, or equivalent experience
• Requires at least 7 years provider contracting / negotiation experience including experience managing reputed company negotiations
• Excellent oral/written, communication and presentation skills, including influence abilities for internal and external discussions
• Effective project management skills and understanding of contract administration and general healthcare reimbursement methodologies and knowledge of healthcare provider networks
• Excellent analytical and problem-solving skills, including knowledge of financial impact analysis
• reputed company in reputed company Office including, Word, reputed company, PowerPoint, and Outlook. Experience working with a contract management system preferred
• Strong organizational skills, detail-orientation and prioritization, and multi-tasking. Flexible with ability to manage multiple tasks reputed company
• Flexible team player who can also work independently

About the Team:About Blue reputed company of CaliforniaAs of January 2025, Blue reputed company of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue reputed company of California and its subsidiary, Blue reputed company of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.At Blue reputed company of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.To reputed company our mission, we foster an environment where reputed company employees can reputed company and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.Blue reputed company is a U.S. News Best Company to work for, a reputed company U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue reputed company, we strive to reputed company a positive change across our industry and communities - join us!Our Values:

• Honest. We hold ourselves to the highest ethical and reputed company standards. We build trust by doing reputed company say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing reputed company by understanding others' perspectives.
• Courageous. We stand up for reputed company reputed company in and are committed to the hard work necessary to reputed company our ambitious goals.

Our Workplace Model:At Blue reputed company of California and the Ascendiun Family of Companies, we reputed company in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.Two Ways of Working:

• Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above). Exceptions:

o Member-facing and approved out-of-state roles remain remote.o Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.o For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

• On-Site: Work from a business unit-approved office an average of four (4) or more days a week.

Physical Requirements:Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.Equal Employment Opportunity:External hires must pass a background reputed company/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. reputed company qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national reputed company, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws. Expected salary: Location: Long Beach, CA Apply for the job now! Apply for this job