Full employer posting
Negotiation and implementation of the hospital’s managed care agreements as assigned by the Director of Managed Care. Coordination of managed care activities with payers and internal PVHMC departments to ensure successful implementation of new agreements and to problem-solve current agreements. Review and report trends, model rate
04/18/2023 1 of 20 proposals, and analyze overall contract performance. Review, analyze and recommend contract language. Research statutes and regulations related to the managed care arena.
Ensure department processes are efficient, and that contract documents are kept in a controlled and orderly manner. May perform other duties as assigned. Required
Valid California Driver's License and ability to drive to off-site negotiations and meetings. High School or equivalent. Two years' managed care negotiation experience.
Bachelor's Degree. Knowledge of hospital operations and health plans. Salary range: $120,400–$137,200 annually.
Salary will be commensurate with experience. As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.
1 - Days shift · Days
About the role
Position Summary: Negotiation and implementation of the hospital’s managed care agreements as assigned by the Director of Managed Care. Coordination of managed care activities with payers and internal PVHMC departments to ensure successful implementation of new agreements and to problem-solve current agreements.