Strategic Provider Contracting Lead (Hybrid)

Blue Shield of CA; Redding (CA); Hybride; USD 120 000 - 160 000; Plein temps

Résumé du poste

Blue Shield of CA is seeking a Provider Contracting Specialist, Consultant to manage a portfolio of provider negotiations and contracting initiatives within statewide strategies. You will independently manage complex negotiations, analyze financial impact, and execute initiatives to support affordability and access.

You will collaborate across the organization to advance affordability, network access, and business objectives while ensuring work adheres to contracting strategies, policies,

Qualifications

• Bachelor’s degree or equivalent with 4 years of relevant experience.
• 7 years of prior relevant experience preferred.
• Experience with provider contracting and negotiation.
• Knowledge of managed care operations and contracting policies.
• Strong project and portfolio management skills.

Responsabilités

• Execute assigned portfolio negotiations and contracting initiatives.
• Perform strategic and financial analyses to support negotiations.
• Collaborate across the organization to advance affordability and network access.
• Ensure compliance with governance standards and approval requirements.

Connaissances

Negotiation

Provider contracting

Data interpretation

Portfolio management

Cross-functional collaboration

Formation

Bachelor's degree or High School Diploma/GED plus 4 years relevant experience

7 years of prior relevant experience

Description du poste

Blue Shield of CA is seeking a Provider Contracting Specialist, Consultant to manage a portfolio of provider negotiations and contracting initiatives within statewide strategies. You will independently manage complex negotiations, analyze financial impact, and execute initiatives to support affordability and access.

You will collaborate across the organization to advance affordability, network access, and business objectives while ensuring work adheres to contracting strategies, policies,