Provider Contracting Specialist, Consultant (Short Term Employment)

***This is a Short Term Employment opportunity that has the ability to be employed up to a maximum of 3 years***Your RoleThe Provider Contracting team is responsible for contract negotiations, coordination, and ongoing support and interpretation of contracts for both internal and external partners. The Provider Contracting Specialist, Consultant will be responsible for negotiating provider agreements and accountable care collaboration agreements with medical groups/IPAs, hospitals, and ambulatory surgery centers. Reporting to the Director, Provider Contracting & Provider Relations, this role will drive strategic initiatives to support Blue Shield of California's objectives to achieve growth and maintain strong market position and positive reputation in the market.Your WorkIn this role, you will:Negotiate all product (commercial, Medicare, and Medi-Cal) provider agreements with medical groups/IPAs, hospitals, freestanding ambulatory surgery centers and accountable care collaboration agreementsParticipate in cross-functional team to implement initiatives to help manage the total cost of health care across the assigned regionCollaborate closely with Medical Management, Provider Relations, Network Analytics, and Sales to meet aggressive regional goalsDrive alignment with Pricing, Underwriting, and Sales regarding unit cost and other contracting activitiesIdentify strategic opportunities within local market (i.e., network expansion opportunities, utilization, or unit cost excesses, etc.)Assess market trends and competitive benchmarks to enhance company's market positionConduct extensive investigation and apply critical thinking to understand root functions and/or businesses to develop new perspectives and innovative approaches on existing or new problems, and communicate with external customers and vendors on new concepts, practices, and approachesTake responsibility for managing large, complex project initiatives of strategic importance to the organization, involving cross-functional teamsFrequently be responsible for providing guidance, coaching, and training to other employees across the company within area of expertiseCommunicate with executive leadership regarding matters of significant importance to the organization, including writing comprehensive executive summaries

Your Knowledge and ExperienceRequires a bachelor's degree in business, healthcare policy, public health or related field, or equivalent experienceRequires at least 7 years provider contracting / negotiation experience including experience managing complex negotiationsRequires broad healthcare industry knowledge with substantial experience negotiating and managing complex, high-profile provider contractsRequires advanced knowledge and skills including technical or functional expertise, business acumen, financial analysis, risk management, delegation, critical thinking, and decision makingRequires excellent oral and written communication skillsPay Range:The pay range for this role is: $109,120.00 to $163,680.00 for California.Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.#LI-MM4