Strategic Provider Network Contract Specialist

6 days ago

Tacoma, Washington, United States PacificSource Full time

**About PacificSource**

PacificSource is an equal opportunity employer committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Compensation

The estimated annual salary for this position is $93,124.08, based on the provided information.

About the Role

This Strategic Provider Network Contract Specialist will lead, develop, and maintain strong, positive relationships with assigned standard and complex provider accounts, ensuring provider satisfaction with PacificSource.

Key Responsibilities

  • Develop and maintain effective provider networks under the guidance of the Contract Management team.
  • Accountable for network contracting results for assigned markets or provider entities, efficiently managing resources to achieve department goals and initiatives.
  • Lead negotiation and implementation of provider contracts for assigned markets or provider entities, serving as the main point of contact for assigned accounts with respect to negotiations and service.
  • Proactively communicate with PacificSource management on account status to facilitate proper internal support of account management efforts.
  • Develop and implement contracting strategies meeting corporate financial objectives, working within budgetary guidelines.
  • Complete negotiations within preplanned rate targets, meet timelines, ensure implementation period is timely, and take responsibility for accurate implementation of the contract.
  • Demonstrate advanced knowledge of varying payment methodologies, including DRG, Capitation, Fee-for-Service, RBRVS, Per Diem, Per Case, and Percent of Charges.
  • Exercise independent judgment and communicate effectively with other members of the Provider Network Department and other related internal staff.
  • Communicate regularly with internal staff, departments, and district offices regarding the status of contract negotiations and potential impact on operations throughout the negotiation process.
  • Partner with other Provider Network staff to ensure PacificSource strategies are being met with the provider community.
  • Build and maintain positive provider relationships that foster a collaborative approach to quality care, network stability, and cost containment.
  • Accountable for the relationship management for assigned provider accounts, including the multi-disciplinary PacificSource team providing operationally excellent service and support to the accounts.
  • Participate in provider-specific and public presentations as indicated.
  • Supporting responsibilities include meeting department and company performance and attendance expectations, following PacificSource policies, and participating in special projects related to PacificSource initiatives.

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