Job Description

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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.
• 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.
• Well-versed in CMS reimbursement methodologies, including capitation, per visit, per diem, DRG, APC, and value-based incentives.
• Highly preferred: a robust understanding of Medicare Advantage.
• Preferred: experience with national contracting negotiations.
• Preferred: network operations experience.

Knowledge, Skills and Abilities:

• High level of interpersonal skills to handle sensitive and confidential situations with poise, tact, and diplomacy.
• Excellent verbal and written communication skills.
• Ability to interact with individuals at all organizational levels and external parties.
• Proficiency in computer software applications (Word, Excel, Access, PowerPoint).
• Attention to detail in composing, typing, and proofing contracts.
• Ability to create contract language; college courses in writing contracts are a plus.

Essential Functions:

• Assist with all network contracting activities, including physician, ancillary, and hospital contracting.
• Support payer negotiations and implementations related to network development and contracting.
• Participate in new network expansions and organizational opportunities.
• Act as liaison for contracting and operational projects with hospitals, 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, ensuring compliance with state and federal regulations.
• Must have a car and ability to travel overnight.
• Organize and prioritize large volumes of information.

Seniority level

• Associate

Employment type

• Full-time

Job function

• Health Care Provider

Industries

• Hospitals and Health Care

Job Tags

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