Pomona Valley Hospital Medical Center

MANAGER, CONTRACT

Pomona Valley Hospital Medical Center • $120K — $137K *
Pomona, CA 91766In-Person
Healthcare
Less than 5 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • Valid California Driver's License
  • High School diploma or equivalent
  • Two years of experience in managed care negotiation
  • Bachelor's Degree preferred
  • Knowledge of hospital operations and health plans

Responsibilities

  • Negotiate and implement managed care agreements with payers
  • Coordinate managed care activities with internal departments
  • Review and report on contract performance trends
  • Analyze proposed contract terms and recommend changes
  • Research relevant statutes and regulations
  • Ensure efficient department processes for contract documentation

Benefits

  • Competitive weekend shift rates for eligible employees
Full Job Description
Position Summary: Negotiation and implementation of the hospital's managed care agreements as assigned by the Director of Managed Care. Coordination of managed care activities with payers and internal PVHMC departments to ensure successful implementation of new agreements and to problem-solve current agreements. Review and report trends, model rate JOB DESCRIPTION 04/18/2023 1 of 20 proposals, and analyze overall contract performance. Review, analyze and recommend contract language. Research statutes and regulations related to the managed care arena. Ensure department processes are efficient, and that contract documents are kept in a controlled and orderly manner. May perform other duties as assigned.

Required Qualifications: Valid California Driver's License and ability to drive to off-site negotiations and meetings. High School or equivalent. Two years' managed care negotiation experience.

Preferred Qualifications: Bachelor's Degree. Knowledge of hospital operations and health plans.

Salary range: $120,400-$137,200 annually. Salary will be commensurate with experience.

As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.

About Pomona Valley Hospital Medical Center

Pomona Valley Hospital Medical Center (PVHMC) is a not-for-profit, regional medical center in Pomona, California. The hospital was founded in 1903 and has grown to become one of the largest hospitals in the Inland Empire. PVHMC provides a wide range of medical services, including emergency care, cancer care, heart and vascular care, orthopedics, and women's health. The hospital is committed to providing high-quality, compassionate care to its patients and their families. PVHMC is also a teaching hospital, with residency programs in family medicine and internal medicine.
Learn more about Pomona Valley Hospital Medical Center
Size
3,000 employees
Industry
Healthcare
Net Income
$50 million
5 Year Trend
+5%
Revenue
$1 billion
* Ladders Estimates

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