Manager, Provider Contracting

3 weeks ago

Roseville, United States Adventist Health NW Full time

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Whether remote or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary

Directs provider contracting activities on behalf of the organization. Develops, maintains and revises policies and procedures for the operations and compliance of provider contracting. Works with executive management on issues or escalated items. Assists in the management of medical group contracting as well as system-wide provider compensation practices. Oversees the development and implementation of a contracting system including cataloging, standardizing, measuring performance and ensuring compliance. Supervises and directs the activities of various levels of assigned personnel utilizing both professional and supervisory discretion and independent judgment.

Job Requirements
Education and Work Experience
  • Bachelor's Degree or equivalent combination of education/related experience: Required
  • Master's Degree: Preferred
  • Five years' related experience: Preferred
  • One year leadership experience: Preferred
Essential Functions
  • Oversees the contract development for providers across the system. Takes appropriate actions to facilitate the timely flow of contract documents through the approval process. Manages the database of the provider contract terms and ensures communication to all stakeholders.
  • Works with legal and compliance teams on escalated provider issues. Communicates issues to legal and compliance and assists in resolution as necessary. Provides advanced knowledge and understanding of legal and regulatory requirements related to provider contracting and compensation. Maintains responsibility to ensure contract compliance standards are applied and maintained.
  • Develops close relationships with hospital leadership, communicating as needed, to ensure the collaborative management of provider contracts.
  • Participates in various subject-focus meeting groups to provide insight, expertise, metrics and data on provider contracting.
  • Exercises independent judgment in recruiting, training, coaching, supervising and directing assigned associates.
  • Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

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