Job Information

Providence Director, Contract Analytics *Hybrid* in Irvine, California

Description

Director, Contract Analytics - *Hybrid *

The Payer Solutions Director serves as the leader and the primary point of contact to facilitate partnership work streams, resolution for contract performance issues, develops action plans for issue resolution across the system for all Providence ministries and networks in support of the Providence strategic and financial plan. Assumes the leadership role in the identification of payment and policy changes, problem solving tactics and facilitates resolutions to attain goals. The Payer Solutions Director facilitates communication between Providence Ministries/Networks and the health plan payers and/or providers in the problem resolution process. Works collaboratively with the SVP, Contracting, Executive Director, Operations, Executive Director, Analytics and the Executive Director, Contracting to identify and mitigate contract deficiencies and to identify reimbursement enhancement and/or cost reduction opportunities. Defines and implements processes for the successful implementation of payer and provider contracts, and contracting rev cycle improvements. Monitors contract performance for each health plan and provides feedback to negotiating teams to enhance contract performance and attain strategic and operational goals. The expectation is that this position will work on site in the Irvine office every other week.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Finance and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

  • Bachelor's Degree in Business, or Health Care Management.

  • 10 or more years contracting experience within a health plan, contract operations, project management and provider experience.

Preferred Qualifications:

  • Master's Degree in Business, Or

  • Master's Degree in Health Care Management.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 250352
Company: Providence Jobs
Job Category: Contracting
Job Function: Legal/Compliance/Risk
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 4004 SS POPH PAYOR CONTR
Address: CA Irvine 3345 Michelson Dr
Work Location: Providence Health System Office-Irvine
Pay Range: $77.96 - $127.07
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.