Provider Network Specialist III

Sutter Health • Emeryville, CA • 4h ago

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Population Health Services-Bay

Position Overview:

Is responsible for the contract management of provider network agreements and negotiation of contract Letter of Agreements (LOAs). The primary focus is to assure the availability of contracted primary care and specialty providers to meet the geographic demand of the managed care contracts and other risk contracts under design. Provides analytical support budgeting and contracting. May assist in special projects as assigned.

Job Description :

EDUCATION:

Equivalent experience will be accepted in lieu of the required degree or diploma.

Bachelor's: Business Administration, Healthcare Management, Finance or related field

TYPICAL EXPERIENCE:

5 years recent relevant experience.

SKILLS AND KNOWLEDGE:

Working knowledge of health care, especially managed care principles, in particular the provider and HMO relationship and Medicare/Medi-Cal principals.

Problem solving skills including financial, business, and contract analysis.

Knowledge of health care contract and billing terminology, provisions and reimbursement methodologies including managed care risk contracting and workers compensation.

Ability to work in a fast-paced, complex health care setting.

Knowledge of PC hardware and software including MS Office (Word, PowerPoint and Excel), and the operation of a fax machine, scanner, and copier.

Organizational skills and the ability to balance numerous priorities at a given time with minimal supervision.

Ability to field questions and translate those into meaningful action and solutions.

Ability to independently assess and structure data from diverse sources.

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

Position Status:

Exempt

Weekly Hours:

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $111,592.00 to $167,398.40 / annual salary. Sacramento Valley Pay Range is $97,032.00 to $145,558.00 / annual salary.

The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Similar Jobs

Customer Service Representative

Robert Half • South San Francisco, CA • 1h ago

Management & Administrative

Description Robert Half is looking for a customer-focused professional who thrives in a fast-paced environment and enjoys making a difference in the community. We are partnering with an established sanitation and waste m...

1h ago

Go to Apply

Global Strategy and Operations Manager, YouTube Business

Google • San Bruno, CA • 1h ago

Management & Administrative

Global Strategy and Operations Manager, YouTube Business Share Global Strategy and Operations Manager, YouTube Business corporatefare_ YouTube place New York, NY, USA; San Bruno, CA, USA Mid Experience driving progress,...

1h ago

Go to Apply

Senior Central Operations Manager, AM Tooling & Digital Transformation - Expansion Central Ops

Uber • San Francisco, CA • 1h ago

Management & Administrative

About the Role The Expansion Central Ops team is a global sub-function within Delivery Commercial Operations (DCO). We are the "Scale Engine" for the Account Management (AM) organization. Our mission is to empower every...

1h ago

Go to Apply

Product Operations Manager (Consumer Data / Marketing Technology)

The Clorox Company • Oakland, CA • 1h ago

Hospital & Medical

Durham, NC - USA (Hill Bldg) Oakland, CA - USA Pleasanton, CA - USA Alpharetta, GA - USA Full time JR23738 Clorox is the place that's committed to growth - for our people and our brands. Guided by our purpose and values,...

1h ago

Go to Apply

Senior Strategic Operations Manager, GDP

Uber • San Francisco, CA • 1h ago

Management & Administrative

About the Role Uber Delivery is revolutionizing instant delivery and making dining or shopping effortless: from eating locally, to ordering groceries, to celebrating with a bottle of wine. The options are endless. Workin...

1h ago

Go to Apply

Data Center Operations Manager

Amazon • Hayward, CA • 1h ago

Management & Administrative

Description Manage a team that maintains cloud infrastructure for global data center operations! AWS is looking for technology managers with experience in people management, strong technical understanding and the drive a...

1h ago

Go to Apply

Paratransit Operations Manager

Transdev • Concord, CA • 1h ago

Management & Administrative

Operations Manager The Operations Manager reports directly to the General Manager in fulfilling daily operations including but not limited to route supervision, staff and operator supervision, effective communication wit...

1h ago

Go to Apply

Intern

Consolidated Electrical Distributors • Hayward, CA • 2h ago

Summary Job title: Intern Department: SF Bay Area - Greentech Renewables Description Summary: Our internship is designed for candidates who are sales oriented and interested in sales or management. Our highly structured...

2h ago

Go to Apply

Project Engineer - Modular - Data Center

Cupertino Electric • San Francisco, CA • 2h ago

IT & Engineering

Posting Title: Project Engineer - Modular - Data Center Reports To: Director, Project Management Location: Edgerton, WI | Salt Lake City, UT | Houston, TX | Greater San Francisco Bay Area | Salary Range: $66,000 to $103,...

2h ago

Go to Apply

Direct Support Professional

Sevita • Pinole, CA • 3h ago

Mentor Community Services , a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and ev...

3h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)