Provider Contracting Specialist — CA Network & Negotiations

Blue Shield of CA; Sacramento (CA); Híbrido; USD 110.000 - 170.000; Jornada completa

Descripción de la vacante

Blue Shield of California in Sacramento seeks a Provider Contracting Specialist, Consultant to lead a portfolio of provider negotiations and contracting initiatives within statewide strategies. You will analyze strategic and financial aspects from analysis through execution and issue resolution.

You will collaborate across the organization to advance affordability and network access while ensuring adherence to contracting policies and governance.

Formación

• Bachelor's degree or HS/GED with 4 years of relevant experience.
• 7 years of prior relevant experience in provider contracting and negotiations.
• Advanced knowledge of provider contracting, reimbursement methodologies, and contract language.
• Working knowledge of managed care operations and regulatory implications.
• Ability to interpret data, evaluate alternatives, and recommend negotiation strategies.
• Strong portfolio-management skills for multiple negotiations.

Responsabilidades

• Lead and execute a portfolio of provider negotiations and contracting initiatives.
• Analyze strategic and financial aspects from analysis to execution.
• Collaborate across the organization to improve affordability and network access.
• Identify risks and escalate issues within contracting governance.

Conocimientos

Provider contracting

Negotiation

Data analysis

Portfolio management

Cross-functional collaboration

Educación

Bachelor's degree

High School Diploma / GED

Descripción del empleo

Blue Shield of California in Sacramento seeks a Provider Contracting Specialist, Consultant to lead a portfolio of provider negotiations and contracting initiatives within statewide strategies. You will analyze strategic and financial aspects from analysis through execution and issue resolution.

You will collaborate across the organization to advance affordability and network access while ensuring adherence to contracting policies and governance.