Contract Network Strategist

7 days ago

Woodland Hills, California, United States Blue Shield of CA Full time

Your Role: Contract Network Strategist

The Provider Contracting team is responsible for negotiating and managing complex provider contracts. As a Contract Network Strategist, you will be part of this team and play a crucial role in driving strategic initiatives to support Blue Shield of California's objectives.

*This is a Short-term Employment (Temporary Full-time) role.

Your Work:

  • Negotiate product provider agreements with medical groups/IPAs, hospitals, and ambulatory surgery centers.
  • Participate in cross-functional teams to implement initiatives that help manage the total cost of healthcare across assigned regions.
  • Collaborate closely with Medical Management, Provider Relations, Network Analytics, and Sales to meet aggressive regional goals.
  • Drive alignment with Pricing, Underwriting, and Sales regarding unit cost and other contracting activities.
  • Identify strategic opportunities within local markets.
  • Assess market trends and competitive benchmarks to enhance the company's market position.
  • Conduct investigations and apply critical thinking to understand root functions and businesses.
  • Communicate with external customers and vendors on new concepts, practices, and approaches.
  • Manage large, complex project initiatives of strategic importance to the organization.
  • Provide guidance, coaching, and training to other employees within the area of expertise.
  • Communicate with executive leadership regarding significant matters to the organization.

Your Knowledge and Experience:

  • A college degree in Business, Healthcare Policy, Public Health, or related field, or equivalent experience.
  • A minimum of 7 years of prior relevant experience.
  • Broad healthcare industry knowledge and experience negotiating and managing complex provider contracts are preferred.
  • Advanced knowledge and skills in business acumen, financial analysis, risk management, delegation, critical thinking, and decision-making are preferred.
  • Excellent oral and written communication skills are preferred.

Estimated Salary: $109,120 - $163,680 per year in California.

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