Provider Contracting Specialist, Consultant (Behavioral Health Network Management)

Blue Shield of CaliforniaRancho Cordova, CA
$111,540 - $188,728Hybrid

About The Position

The Network Management team is responsible for the development and maintenance of all provider networks, including vendor and Plan to Plan relationships necessary to provide our members and clients with access to quality, affordable healthcare services. The Provider Contracting Specialist, Consultant will report to the Manager, Specialty Networks and Vendor Management. In this role, you will support Blue Shield of California’s Behavioral Health and selective Ancillary programs including supporting Plan to Plan, and vendor operations. The primary focus will be on large Behavioral Health Groups and Providers. 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.

Requirements

  • External hires must pass a background check/drug screen.
  • Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance.
  • All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Responsibilities

  • Support Blue Shield of California’s Behavioral Health and selective Ancillary programs including supporting Plan to Plan, and vendor operations.
  • Focus on large Behavioral Health Groups and Providers.
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