Provider Contracting Specialist, Senior

Blue Shield of California • Los Angeles, CA

1d • Hybrid

About The Position

The PPO Professional Provider Contracting team manages our PPO network to
maintain network adequacy by contract negotiation, recruitment, and
building/maintaining professional relationships.

The Provider Contracting Specialist, Senior will report to the Senior Manager,
Provider Contracting. In this role, you will ensure the acquisition, servicing
and performance of Physicians/Medical Groups and other Specialty Network
Providers to the Blue Shield of California contracted network. Support
attainment of department goals and ensure alignment of these goals with the
company’s strategic priorities. Additionally, this role supports review and
modification of contracting and cost of health care savings strategies in
anticipation of, and in response to, shifts in provider and competitor
negotiating approaches. Researching opportunities within the assigned local
market (i.e., network expansion opportunities, utilization, or unit cost
excesses, etc.) and assessing market trends to drive initiatives which enhance
the company’s market position.

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.

Responsibilities

• Ensure the acquisition, servicing and performance of Physicians/Medical Groups and other Specialty Network Providers to the Blue Shield of California contracted network.
• Support attainment of department goals and ensure alignment of these goals with the company’s strategic priorities.
• Support review and modification of contracting and cost of health care savings strategies in anticipation of, and in response to, shifts in provider and competitor negotiating approaches.
• Research opportunities within the assigned local market (i.e., network expansion opportunities, utilization, or unit cost excesses, etc.) and assessing market trends to drive initiatives which enhance the company’s market position.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1-10 employees