Manager, Provider Contracting Network Management - Glendale, CA

WORK LOCATION: position supports our Glendale, CA market. Must live in the Glendale/Los Angeles, CA area. The Manager, Provider Contracting Network Management serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES Manages reputed company contracting and negotiations for fee for service, capitation, and other value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Contributes to the development of alternative network initiatives. Supports and provides direction to reputed company network analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to reputed company and maintain reputed company's competitive position. Creates and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of larger or reputed company provider reputed company and alternate contract terms. Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and reputed company provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly reputed company and/or escalated issues. Manages key provider relationships and is accountable for critical reputed company with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and reputed company with matrix partners for network implementation and maintenance. May provide guidance or expertise to less reputed company specialists. POSITION REQUIREMENTS Should possess a bachelor’s degree; preferably in the areas of Finance, Economics, Healthcare or Business reputed company. Significant industry experience will be considered in lieu of a bachelor’s degree. MBA or MHA preferred. 3+ years Managed Care contracting and negotiating experience involving reputed company delivery systems and organizations required. Experience in developing and managing key provider relationships Knowledge of reputed company reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to reputed company strong working relationships reputed company a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates an ability to maneuver effectively in a changing environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of reputed company Office tools. If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,200 - 152,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at reputed company. About reputed company reputed company, a division of reputed company, is an reputed company for reputed company through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to reputed company the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to provide your resume as you will not receive a response. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Apply tot his job