Senior Provider Contracting Strategist

Blue Shield of CA; Long Beach (CA); Ibrido; USD 120.000 - 170.000; Tempo pieno

Descrizione del lavoro

Blue Shield of CA is seeking a Provider Contracting Specialist, Consultant to independently manage a portfolio of provider negotiations and contracting initiatives across California. You will execute strategic negotiations, analyze financial impact, and ensure alignment with statewide contracting strategies and approvals.

You will collaborate across the organization to advance affordability, network access, and business objectives while meeting policy and control requirements, and you will

Competenze

• Bachelor's degree or HS Diploma with 4 years of relevant experience required.
• Experience in provider contracting and negotiation, including complex negotiations preferred.
• Advanced knowledge of provider contracting and reimbursement methodologies preferred.
• Understanding managed care operations and implications of provider agreements preferred.

Mansioni

• Manage complex provider negotiations and contracting initiatives from analysis to execution.
• Collaborate across the organization to align with contracting strategies and approval requirements.
• Identify risks and escalate matters requiring policy, resources, or executive decisions.

Conoscenze

Provider contracting

Negotiation

Data interpretation

Portfolio management

Formazione

Bachelor's degree or HS Diploma

Descrizione del lavoro

Blue Shield of CA is seeking a Provider Contracting Specialist, Consultant to independently manage a portfolio of provider negotiations and contracting initiatives across California. You will execute strategic negotiations, analyze financial impact, and ensure alignment with statewide contracting strategies and approvals.

You will collaborate across the organization to advance affordability, network access, and business objectives while meeting policy and control requirements, and you will