Oversee and manage global provider contracting, as well as network rental relationships defined as impacting the entirety of PacificSource’s network enterprise. Manage and update all non-participating provider and default fee schedules for all lines of business across enterprise. Work with various team members and external parties in the completion of various reporting accountabilities and requirements for PacificSource. Work with senior leadership in Health Services, Finance, Sales, Government Programs and IT/Facets Business Support to develop key strategies and participate in collaborative decision making for maximum positive impact and goal achievement across all lines of business. Work collaboratively across teams in Provider Network – as well as maintaining positive business relationships with external contracted vendors and external provider partners.
Work Experience: At least 5 years in healthcare and 3 years in health care contracting, provider relations, or provider network operations required. Some prior management of employees preferred.
Education, Certificates, Licenses: Bachelor’s Degree in related field required.
Knowledge: Advanced knowledge of provider reimbursement and reimbursement methodologies, provider relations, and reporting, auditing.
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.