What are the responsibilities and job description for the Contract Network Manager (Short-term Employment) position at Blue Shield Of California?

Job Description

Your Role

The Provider Contracting team is responsible for contract negotiations, coordination, and ongoing support and interpretation of contracts for both internal and external partners. The Provider Contracting Specialist, Consultant will be responsible for negotiating provider agreements and accountable care collaboration agreements with medical groups / IPAs, hospitals, and ambulatory surgery centers. Reporting to the Sr. Director, Provider Contracting, this role will drive strategic initiatives to support Blue Shield of California's objectives to achieve growth and maintain strong market position and positive reputation in the market.

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

Your Work

In this role, you will :

Negotiate all product (commercial, Medicare, and Medi-Cal) provider agreements with medical groups / IPAs, hospitals, freestanding ambulatory surgery centers and accountable care collaboration agreements

Participate in cross-functional team to implement initiatives to help manage the total cost of health care across the assigned region

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 market (i.e., network expansion opportunities, utilization, or unit cost excesses, etc.)

Assess market trends and competitive benchmarks to enhance company's market position

Conduct extensive investigation and apply critical thinking to understand root functions and / or businesses to develop new perspectives and innovative approaches on existing or new problems

Communicate with external customers and vendors on new concepts, practices, and approaches

Take responsibility for managing large, complex project initiatives of strategic importance to the organization, involving cross-functional teams

Frequently be responsible for providing guidance, coaching, and training to other employees across the company within area of expertise

Communicate with executive leadership regarding matters of significant importance to the organization, including writing comprehensive executive summaries

Potentially direct the work of other individual contributors and / or act as a cross-functional team lead

Qualifications

Your Knowledge and Experience

Requires a college degree in Business, Healthcare Policy, Public Health, or related field or equivalent experience

Requires a minimum of 7 years of prior relevant experience

Broad healthcare industry knowledge with substantial experience negotiating and managing complex, high-profile provider contracts is preferred

Advanced knowledge and skills including technical or functional expertise, business acumen, financial analysis, risk management, delegation, critical thinking, and decision-making is preferred

Excellent oral and written communication skills is preferred

Pay Range :

The pay range for this role is : $109,120.00 to $163,680.00 for California.

Note :

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

LI-JS3

About the Team

Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.

Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!

Our Values :

Honest . We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.

Human . We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.

Courageous . We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model :

At Blue Shield of California, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.

Two Ways of Working :

Hybrid (Default) : Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions :

Member-facing and approved out-of-state roles remain remote.

Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.

For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

On-Site : Work from a business unit-approved office an average of four (4) or more days a week.

Physical Requirements :

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office / deskwork - Activity level : Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity :

External hires must pass a background check / drug screen. Qualified applicants with arrest records and / or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Salary : $109,120 - $163,680

Apply for this job

Receive alerts for other Contract Network Manager (Short-term Employment) job openings

Contract Network Manager (Short-term Employment)

What are the responsibilities and job description for the Contract Network Manager (Short-term Employment) position at Blue Shield Of California?

What is the career path for a Contract Network Manager (Short-term Employment)?

Job openings at Blue Shield Of California

Not the job you're looking for? Here are some other Contract Network Manager (Short-term Employment) jobs in the Los Angeles, CA area that may be a better fit.

We don't have any other Contract Network Manager (Short-term Employment) jobs in the Los Angeles, CA area right now.

AI Assistant is available now!