Director of Network Management (0289)

Employer
University of California Office of the President
Location
Oakland, California (US)
Salary
Depends on Qualifications
Posted
Oct 21, 2019
Metro Area
Other
Duration
Full Time

Director of Network Management (0289)

 

University of California Office of the President

 

Requisition Number: 20190478

 

Appointment Type: Staff - Career

 

Personnel Program: MSP

 

Work Hours: M-F, 8 AM to 5 PM

 

Percentage of Time: 100

 

Organizational Area: Health Sciences and Services

 

Location: Oakland, CA

 

Posting Salary: Salary commensurate with experience.

 

Position Summary:

 

Assists with network strategy and contracting initiatives to drive network development and member acquisition, control costs and provide competitive advantages.

 

Leads network development activities across all campus markets (and other geographies where employees and retirees are located) to include provider negotiations, provider relationships, developing and implementing various contracting strategies and other strategic partnerships.

 

Participates in managing medical costs of the delivery system and maintaining appropriate access.

 

Monitors provider satisfaction and network stability across all programs.

 

Responsible for assuring contractual compliance with policies and procedures.

 

Monitors financial performance of network.

 

Develops deep understanding of the UC medical centers, employee needs and future requirements and leverages relationship to create mutually beneficial solutions.

 

Knowledgeable in current and possible future practices, trends, information affecting the business and leverages the information to create opportunities.

 

Savvy at leading re-contracting, negotiation processes that achieve a win-win scenario for all parties.

 

Special Conditions of Employment:

 

Other Special Conditions of Employment:

 

Successful completion of a background check is required for appointment to this critical position.

 

Job Close Date:

 

Duties

 

Perform ongoing network analysis from a cost, coverage and growth perspective. Coordinate network strategies for medical and other providers and services, as well as participation in setting strategy, negotiation and implementation of provider and vendor contracts in addition to reviewing claim trend data and/or market information to derive conclusions to support contract negotiations and conduct periodic review of provider contracting rates. 

 

Job Requirements

 

Bachelor's degree in related area and / or equivalent experience / training.

 

10+ years of experience working with a managed care organization, health insurer or consultant in a network management/contract management role, such as contracting, provider services, etc.

 

Understanding of health care delivery systems and reimbursement models, including self-insured products and ACO's.

 

Must have excellent interpersonal skills, critical thinking skills, analytical abilities and business skills.

 

Ability to use good judgement and evaluate situations requiring good decision making.

 

3+ years of project management or project lead experience and managing matrix relationships.

 

Must be self-directed and have the ability to successfully interface with diverse personalities.

 

Strong knowledge of the University environment including its infrastructure, goals, objectives, achievements, rules, regulations and policies.

 

Willing and able to learn new information and apply that information to different settings.

 

Advanced ability to convey complex or technical information in a manner that others can understand, including the ability to communicate effectively with various levels of leadership.

 

Proficiency in MS Office.

Required

 

How to Apply

 

For complete job description and application instructions, visit: https://apptrkr.com/1667483

 

About us

 

The University of California, one of the largest and most acclaimed institutions of higher learning in the world, is dedicated to excellence in teaching, research and public service. The University of California Office of the President is the corporate headquarters to the ten campuses, five medical centers and three Department of Energy National Labs and enrolls premier students from California, the nation and the world.

 

The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age or protected veteran status.

 

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