Hybrid Senior Contracting Manager - Payor Negotiations

Providence Health & Services; Irvine (CA); Hybrid; USD 142,000 - 225,000; Full time

Job summary

Providence Health & Services is seeking a Senior Manager Contracting for a hybrid role based in Irvine, CA. You will lead top-level negotiations with payors and shape reimbursement terms for hospital networks, physician groups, home health, and hospice services.

The role emphasizes developing advanced contracting strategies, collaborating with regional leadership, and delivering revenue growth across commercial, Medicare Advantage, and managed Medicaid products.

Qualifications

• Bachelor's Degree - Preferred fields: Business Administration, Healthcare Administration, Finance, Accounting or an equivalent combination of education and experience
• 8 years of related healthcare experience in contract negotiations, financial management, or related field.

Responsibilities

• Lead or participate in significant negotiations with Payors for acceptable reimbursement terms and contract languages across entities
• Support a Providence region and Payors assigned
• Be responsible for revenue primarily associated with Commercial, Medicare Advantage, and managed Medicaid products
• Develop complex negotiation strategies and secure acceptable terms
• Resolve problems and obtain support from leaders within the Service Area, Regional, System, and/or with strategic partners such as ACOs and Joint Ventures

Skills

Contract negotiations

Financial management

Healthcare experience

Leadership

Education

Bachelor's Degree

Master's Degree

Job description

Providence Health & Services is seeking a Senior Manager Contracting for a hybrid role based in Irvine, CA. You will lead top-level negotiations with payors and shape reimbursement terms for hospital networks, physician groups, home health, and hospice services.

The role emphasizes developing advanced contracting strategies, collaborating with regional leadership, and delivering revenue growth across commercial, Medicare Advantage, and managed Medicaid products.