Provider Contracting Executive or Senior

Salary depends on experience
Posted on 11/10/17
5 - 7 years experience
Business Services
Salary depends on experience
Posted on 11/10/17

Overview

Responsibilities & Requirements

 

Bring your experience to a role where you will:

  • Be responsible for contracting relationships with physicians, physician groups, institutions and ancillary providers including the development of contracting strategies, coordination of analytical support, negotiation, and effective administration.
  • Cultivate and maintain relationships with key providers and promotes innovative products and reimbursement methodologies.

Minimum Requirements

  • Strong understanding of managed care and accountable health system models and relationship to contracting strategy and reimbursement methodology.
  • Proven ability to build positive relationships and negotiate successfully with institutional, professional, and ancillary providers.
  • Demonstrated competency related to varying payment methodologies and value base contracting. (such as Pay for Quality/Performance, DRG, APC, ASC, Capitation, Fee for Service, RBRVS, Per Diem, Per Case)
  • Ability to analyze financial, quality, and utilization data and use to develop contracting strategies.
  • Ability to organize and manage a portfolio of contracts.
  • Ability to work in high-pressure circumstances and effectively manage conflict and ambiguity.
  • Senior Provider Contracting (requirements in addition to above)
  • Proficiency building relationships and negotiating successfully with large and complex market-leading institutional and professional providers.
  • Ability to independently and effectively communicate with high level executives internally and externally.

Senior Provider Contracting (requirements in addition to above)

  • Proficiency building relationships and negotiating successfully with large and complex market-leading institutional and professional providers.
  • Ability to independently and effectively communicate with high level executives internally and externally.

Normally to be proficient in the competencies listed above:

  • Provider Contracting Executive would have a Bachelor’s Degree in healthcare, business or a related field and 5years’ experience in a healthcare industry provider contracting, relations, or analytical capacity or equivalent combination of education and experience.
  • Provider Contracting Executive Sr would have a Bachelor’s Degree in healthcare, business or a related field and 7years’ experience in a healthcare industry provider contracting, relations or analytical capacity or equivalent combination of education and experience.

Required Licenses, Certifications, Registration, Etc.

  • Valid driver's license. Driving record will be checked

About Us

Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforcediversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.

 

Regence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of need. We've been here for members more than 90 years. Regence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. We are the largest health insurer in the Northwest/Intermountain Region, serving members as Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Each plan is an independent licensee of the Blue Cross and Blue Shield Association.

 

If you’re seeking a career that affects change in the health care system, consider joining our team at Cambia Health Solutions. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers’ engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our members. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.

Requisition ID 2017-23311

 

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