Network Management Consultant (Hybrid) - 26-123

Hill Physicians Medical Group; Stockton (CA); On-site; USD 87,000 - 113,000; Full time

Job summary

Hill Physicians Medical Group in Stockton, CA seeks a provider relations professional to recruit, evaluate, and contract with network physicians. You will coordinate physician panel meetings and collaborate with PriMed staff and leadership to support department goals.

Responsibilities include data analysis for clinical quality, financial performance, and population health, plus cross-functional project management. A BA/BS is desired, with travel for meetings and strong communication skills.

Qualifications

• Three to five years of related experience.
• Managed care experience in provider relations, contracting, or network development.
• Strong analysis skills and attention to detail.
• Demonstrated project management skills with cross-functional work capability.
• Strong written and verbal communication skills.
• Familiarity with Word, Excel, and PowerPoint.

Responsibilities

• Recruits, evaluates, and contracts with providers in Hill Physicians’ network.
• Facilitates physician panel meetings and cross-functional collaboration.
• Participates in medical leadership functions and related meetings.
• Researches and analyzes information to support provider reimbursement strategies.
• Ensures access for members to geographically contiguous practices.
• Analyzes data to support clinical quality, financial performance, and population health.

Skills

Analytical skills

Communication skills

Project management

Travel readiness

Office software proficiency

Education

BA/BS degree

Tools

Word

Excel

PowerPoint

Job description

We’re delighted you’re considering joining us! At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team! Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.

DE&I Statement: At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are. We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description: This position supports PriMed Senior Management and Hill Physicians’ leadership in the recruitment, compensation development and management of the Hill Physicians’ provider network.

Job Responsibilities

• Recruits, helps evaluate, and contracts with providers that comprise the Hill Physicians’ network of physicians.
• Facilitates physician panel meetings and interaction among Hill Physicians’ leadership, PriMed staff and network physicians in a collaborative effort to support department goals.
• Participates in and may facilitate medical leadership functions such as Medical Management Team meetings.
• Partners with internal resources to research and analyze information that supports or helps form appropriate provider reimbursement strategies and actions.
• Works with network physicians to ensure access for health plan members to geographically contiguous practices.
• Analyzes data in support of clinical quality, financial performance, and population health.

Additional Responsibilities

• Acts as liaison between physician leadership and PriMed / Hill management and staff.
• Presents, verbally and in writing, analysis and recommendations to internal and external audiences.
• Participates in a variety of cross-functional teams to support organization initiatives related to development and maintenance of the physician network.
• Manages simple to complex projects regarding compensation, clinical or utilization management, etc.
• Organizes internal and external meetings for department members.
• Performs other duties as required.

Required Experience

• Three to five years of related experience.
• Previous managed care experience in areas of provider relations, provider contracting, and/or medical network development.
• Strong analysis skills and thorough attention to detail required.
• Demonstrated project management skills. Ability to prioritize multiple projects and tasks. Must be able to contribute to cross-functional work groups both as leader and participant.
• Strong written and verbal communication skills.
• Familiarity with routine applications software and Internet resources (including Word, Excel, and PowerPoint).
• Ability to travel to and participate in business meetings outside of normal business hours.
• Valid Driver’s License and proof of auto insurance.

Required Education

• BA/BS degree desired or equivalent work experience in a managed care, clinical practice and/or healthcare environment.

Additional Information

Salary: $87,000 - $113,000 Annual

Hill Physicians is an Equal Opportunity Employer