Senior Manager Contracting - Hybrid

Providence Health Plan Group; Irvine, Northern (CA, KY); Hybrid; USD 95,000 - 149,000; Full time

Job summary

Providence Health Plan Group in Irvine, CA is seeking a Senior Manager Contracting to lead complex negotiations with payors for favorable reimbursement terms across hospitals, physician organizations, home health and hospice services.

This hybrid role requires a Bachelor’s degree, 8+ years in healthcare contracting, and the ability to develop negotiation strategies, secure terms, and coordinate with leaders across the system.

Qualifications

• Bachelor’s Degree preferred in Business Administration, Healthcare Administration, Finance, Accounting or equivalent

Responsibilities

• Lead or participate in significant negotiations with Payors for reimbursement terms and contract language for Hospitals, Physician Organizations, Home Health and Hospice Services
• Support a Providence Health Plan System region and assigned payors
• Develop complex negotiation strategies and secure acceptable terms
• Resolve problems and obtain needed support from leaders within service areas and strategic partners such as ACOs and joint ventures

Education

Bachelor’s Degree - Preferred fields: Business Administration, Healthcare Administration, Finance, Accounting or an equivalent combination of education and experience

Master's Degree

Job description

Description

Senior Manager Contracting - Hybrid

Providence is one of the nation's leading non-profit healthcare systems with 119,000+ caregivers/employees serving more than 5 million unique patients across 51 hospitals and 800+ clinics. Our locations range from metropolitan centers to rural settings across seven states: Alaska, California, Montana, New Mexico, Oregon, Texas, and Washington. As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives on through our five core values: Compassion, Dignity, Justice, Excellence, and Integrity.

Providence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence is calling a Senior Manager Contracting who will:

• Be responsible for leading, or participating as a team member, in significant negotiations with Payors for acceptable reimbursement terms and contract languages for all entities with continuum of care

• I.E. Hospitals, Physician Organizations, Home Health, and Hospice Services

• Support a PH&S 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

• Obtain applicable support of leaders within the Service Area, Regional, System, and/or with strategic partners, such as ACO's and Joint Ventures

Please note the following important details regarding this position:

• This role is a hybrid position, working a combination of in office / work from home

• The hybrid work schedule will be defined by manager and departmental needs

• This role requires for you to be located within a commutable distance of our office location listed below:

1. California: Irvine

• Work Week: Monday - Friday

• Work Shift: Day

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Finance and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required 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.

Preferred qualifications:

• Master's Degree

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 447471
Company: Providence Jobs
Job Category: Contracting
Job Function: Legal/Compliance/Risk
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 4004 SS POPH PAYOR CONTR 1
Address: CA Irvine 15480 Laguna Canyon Rd
Work Location: Providence System Offices Discovery Park-Irvine
Workplace Type: Hybrid
Pay Range: $68.62 - $108.34
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.