5 days ago Be among the first 25 applicants
Direct message the job poster from ZRG Career Opportunities
On-site - Salem, Portland and Medford, OR
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.
We are looking for a Provider Contracts Manager (Network Contracting Manager). If you are passionate about your work, eager to have fun and motivated to be part of a fast-growing organization, then you should consider joining our team. P3 is headquartered in Nevada with additional offices in OR, CA, AZ, and FL.
*This is an on-site position in Oregon.
Network Contracting Manager
Overall, Purpose:
The Provider Contracts Manager (Network Contracting Manager) is responsible for developing, negotiating, and managing contractual, legal and financial arrangements with providers that ensure our patients have superior access to the highest quality, cost-effective providers of healthcare services.
Education and Experience:
Bachelors Degree preferred or in process of completion or equivalent experience.
Must have a minimum of five years of specific work experience in managed care contracting, including network expansion projects, hospital contracting, primary and specialty physician contracting, and ancillary contracting.
Must be well versed in CMS reimbursement methodologies, including capitation, per visit, per diem, DRG, APC, and value-based incentives.
A robust understanding of Medicare Advantage is highly preferred.
Prefer national contracting negotiation experience.
Prefer network operations experience.
Knowledge, Skills and Abilities:
Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position requires demonstrated poise, tact, and diplomacy.
Excellent verbal and written skills.
Ability to interact and communicate with individuals at all organizational levels and external parties.
Demonstrated knowledge of computer software applications such as Word, Excel, Access, and PowerPoint.
Attention to detail in composing, typing, and proofing contracts.
Ability to create applicable contract language and have taken college-level courses in writing contracts.
Essential Functions:
Assist with all network contracting activities, including physician, ancillary, and hospital contracting.
Support network development and contracting with payer negotiations and implementations.
Participate in all new network expansions and organizational opportunities.
Act as a liaison for contracting and operational projects with hospitals, ancillary providers, and physicians.
Coordinate managed care contracting for acquisitions and networks.
Produce Monthly Network Contracting Reports.
Oversee various Network Contracting processes.
Apply methodologies to accomplish project deliverables, including analysis, documentation, and training.
Handle confidential and non-routine information.
Deliver projects on time and compliant with applicable regulations, meeting milestones and deliverables.
Must have a car and ability to travel overnight.
Organize and prioritize large volumes of information.
Referrals increase your chances of interviewing at ZRG Career Opportunities by 2x
Medical insurance, Vision insurance, 401(k), Paid maternity leave, Paid paternity leave
Get notified about new Contract Manager jobs in Medford, OR .
#J-18808-Ljbffr...role, you will be the first point of contact for HR-related inquiries in our NY office, supporting day-to-day operations across recruiting, onboarding, employee engagement, and HR administration. You will work closely with our California based Human Resources team to...
...Job Description Job Description Bella Ballerina, the areas premier childrens dance studio, is growing! Were expanding our class schedule and adding another teacher to our team. If youre looking for a fun, professional, and supportive place to share your love of...
...shelves with inventory. Operate fax machine, copiers, laminators, and binding machines. General housekeeping duties. * Handling Boxes up to 50lbs unassisted. * Handling Amazon & Package Returns Constantly! Qualifications:* Positive and Helpful Personality * Eager to...
...patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Social Work Case Manager is responsible and accountable for ensuring high value patient care that is coordinated, efficient and aligned with...
Job Description Job Description We are hiring Internship positions across the US in the following fields: Quality Design Manufacturing RF Engineering Program Management Accounting Finance Marketing Customer Service and other areas