Providence Health & Services Senior Network Contract Specialist in Beaverton, Oregon
Providence Health Plan is calling for a Senior Network Contract Specialist to our location in Beaverton, OR.
In this position you will have the following responsibilities:
Negotiate provider contracts to support objectives relative to competitive market trends and client expectations.
Review, negotiate and renegotiate provider contracts including rate and contract language provisions.
Initiate, foster and maintain strong provider relationships.
Assists in managing relationships with leased networks.
Maintain, and preferably exceed, contracting production consistent with established goals.
Prepare analyses, reports and presentations by collecting, analyzing, and summarizing information and trends.
Required qualifications for this position include:
Bachelor’s degree in finance, business administration or health care related field or equivalent education and experience.
7 years of experience in a network management-related role with accountability for business results.
7 years of experience working with financial analysis, reporting, and contract negotiations with institutional and professional providers.
Able to analyze funding and utilization data and hospital financial reports.
Possess a strong understanding of all aspects of managed care, including institutional and professional contracting, as they relate to insured programs (commercial, Medicaid and Medicare), rental networks and worker’s compensation.
Experience in working with and negotiating arrangements such as fee for service, capitated or risk bearing, and other performance bonus structure for hospital and physician services.
Must possess a command of payment methodologies: DRG, APC, Capitation, Fee For Service, RBRVS, Per Diem, Per Case, Percent of Charges.
Strong customer service skills.
Proficiency in word processing, spreadsheet, and database software, i.e., Word, Excel, Access. Experience working with contracting software.
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Health Plans
Req ID: 206871