Provider Contracting Specialist, Principal
Blue Shield of CA, Los Angeles, CA, United States
Your Role
The Provider Network Management team consists of Provider Relations and Contracting in Southern California. The Provider Contracting Specialist, Principal will report to the Director, Provider Contracting. In this role you will be responsible for managing contract negotiations for select providers in Southern California. The job entails comprehensive management of Medical Group/IPA and Hospital provider networks in the assigned service areas. Additionally, this role will be instrumental in driving strategic initiatives to support company objectives to achieve growth and maintain a strong market position and positive reputation in the market.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Knowledge and Experience
Requires a college degree in business, healthcare policy, public health or related field, or
equivalent experience
Requires at least 10 years provider contracting / negotiation experience including experience managing complex negotiations
Requires a collaborative team player approach with practical knowledge and proactive leadership and management in the execution of processes and projects within a functional team
Requires technical and functional expertise, business acumen, critical thinking, and decision-making skills
Hybrid This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
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Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Knowledge and Experience
Requires a college degree in business, healthcare policy, public health or related field, or
equivalent experience
Requires at least 10 years provider contracting / negotiation experience including experience managing complex negotiations
Requires a collaborative team player approach with practical knowledge and proactive leadership and management in the execution of processes and projects within a functional team
Requires technical and functional expertise, business acumen, critical thinking, and decision-making skills
Hybrid This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
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