Provider Contracting Director jobs in Moreno Valley, CA

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

U
DIRECTOR OF PROVIDER RELATIONS
  • Universal Health Services, Inc.
  • Corona, CA FULL_TIME
  • Responsibilities

    Join the Corona Regional Medical Center Team!

    About Us:

    The tradition of caring that culminated in the establishment of Corona Regional Medical Center began in 1965, with the founding of Corona Community Hospital. Since that time the hospital has changed to meet the needs of the rapidly growing community. Corona Community Hospital merged with Circle City Medical Center in 1992 and the resulting entity became Corona Regional Medical Center. The merged hospitals are now a 238-bed community hospital network comprised of a 160-bed acute care hospital and a 78-bed rehabilitation campus. It is certified by The Joint Commission, employs more than 1,250 trained healthcare workers and has a medical staff of approximately 347 physicians representing more than 40 specialties.

    Corona Regional Medical Center is part of Southwest Healthcare, which is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A Urgent Care Centers, and Riverside Medical Clinics. For more information, please visit our website at

    Job Summary:

    The Corona Regional team is seeking a Director of Provider Relations who will strategically plan, implement, and lead outreach efforts designed to foster physician alliance and improve relationships within healthcare community markets and service areas. Duties include but not limited to:

    • Growing business opportunities and maximizes referral and redirection opportunities through the development of synergistic partnerships with providers, community groups, and other inpatient/outpatient associations.
    • Monitor outcomes and participates in performance improvement activities.
    • Provides solutions for increasing the hospitals position competitively within assigned areas.
    • Oversees creation of a target list of physician contacts whose business is desired by system.
    • Maintains good account relationships and implements innovative selling ideas and methodologies.

    Qualifications

    EDUCATION/TRAINING/ EXPERIENCE:

    • Bachelor's degree from an accredited College or University in Business Management or a related field, required. Masters Degree preferred.
    • Minimum seven (7) years of experience in healthcare sales or network development environment required.
    • Experience in physician relations, network, marketing, or business development preferred.

    CERTIFICATIONS/LICENSES:

    • None

    Other Skills and Abilities:

    • Demonstrates knowledge and ensures compliance with The Joint Commission and Title 22 standards and guidelines.
    • Demonstrates compliance with hospital policies and procedures at all times.
    • Ability to set priorities and appropriately organize workload and complete assignments in a timely manner.
    • Demonstrates ability to relate to clinical personnel and medical staff, as well as ability to interact well with the public.
    • Must have knowledge of PC and applications.
    • Ability to interpret and consider physician volume and payer mix data in the development of an overall hospital and market positioning.
    • Effective project management and plan execution skills with the ability to respond to multiple competing priorities.
    • Strong communication and presentation skills. Ability to communicate in English, both verbally and in writing. Additional languages preferred.
    • Capacity to articulate change/value propositions to physicians and their staff and interact with hospital and corporate colleagues regarding compliance and adherence to regulatory guidelines.
    • Excellent human relations skills with the ability to impact and influence results.

    Benefit Highlights:

    • Challenging and rewarding work environment.
    • Competitive Compensation & Generous Paid Time Off.
    • Excellent Medical, Dental, Vision and Prescription Drug Plans.
    • 401(K) with company match and discounted stock plan.
    • SoFi Student Loan Refinancing Program.
    • Tuition, CEU, Certification, Licenses Reimbursement program.
    • Career development opportunities within UHS and its 300 Subsidiaries!

    Southwest Healthcare is owned and operated by subsidiaries of , a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation.

    UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or e-mails. All resumes submitted by search firms to any employee at UHS; via e-mail, the Internet or in any other form and/or method without a valid written search agreement in place for the above-listed position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

    EEO Statement:

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

    Notice:

    At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: or 1-800-852-3449.

     

  • 25 Days Ago

P
Director of Network Development and Provider Relations
  • Prime Healthcare Services
  • Ontario, CA FULL_TIME
  • Director of Network Development and Provider Relations Facility Prime Healthcare Management Inc Location US-CA-Ontario ID 2024-153822 Category Director Position Type Full Time Shift Days Job Type Exem...
  • 1 Month Ago

P
Director of Network Development and Provider Relations
  • Prime Healthcare Management Inc
  • Ontario, CA FULL_TIME
  • Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providi...
  • 2 Months Ago

B
School Speech Language Pathology Assistant (SLPA) in Murrieta, CA | $37-$42/HR
  • Bilingual Therapies - Director of Educational Resources
  • Murrieta, CA FULL_TIME
  • Position Overview:We're seeking a dedicated Speech-Language Pathology Assistant (SLPA) to support diverse caseloads from PreK to 12th grade in Murrieta, California. If you thrive in a dynamic educatio...
  • Just Posted

T
Certified Home Health Aide (CHHA)
  • TRIUNE HOME HEALTH PROVIDER
  • Fontana, CA PART_TIME,OTHER
  • We are a family owned home health care service. We have an open position for Home Health Aide to visit homebound patients based on doctors orders. We provide training when needed. Must have both: - CN...
  • Just Posted

T
LVN Visiting Nurse
  • TRIUNE HOME HEALTH PROVIDER
  • Fontana, CA OTHER,PART_TIME
  • We are a family owned home health care service. We have an open position for home health Licensed Vocational Nurses to visits home bound patients based on our Registered Nurse Evaluations and Doctors ...
  • Just Posted

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Provider Contracting Director jobs found in Moreno Valley, CA area

E
Respite Care Providers
  • Ellys Respite Care
  • Moreno Valley, CA
  • Job Description Job Description We have positions available in the following cities: Beaumont, Yucaipa, Perris, and More...
  • 4/24/2024 12:00:00 AM

K
Healthcare Call Center Rep. (Member, Provider)
  • Kinetic Personnel Group, Inc.
  • Ontario, CA
  • Kinetic Personnel Group is currently recruiting for multiple positions for a Healthcare Call Center - a public health ag...
  • 4/24/2024 12:00:00 AM

R
Provider Patient Concierge Rep
  • RadNet
  • Laguna Woods, CA
  • Pay Range: USD $24.00 - USD $27.44 /per hour Shift: Midday Shift Variations: M-F 8am to 5pm
  • 4/22/2024 12:00:00 AM

I
Provider Quality Review Nurse, RN
  • IEHP
  • Rancho Cucamonga, CA
  • What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human...
  • 4/21/2024 12:00:00 AM

C
Hematology Oncology Advanced Practice Provider
  • COMPASSIONATE CANCER CARE MEDICAL GROUP
  • Fountain Valley, CA
  • Compassionate Cancer Care Medical Group Nurse Practitioner or Physician Assistant Opportunity Laguna Hills: CA Outpatien...
  • 4/21/2024 12:00:00 AM

C
Hematology Oncology Advanced Practice Provider
  • Compassionate Cancer Care Medical Group
  • Fountain Valley, CA
  • Compassionate Cancer Care Medical Group Nurse Practitioner or Physician Assistant Opportunity Laguna Hills: CA Outpatien...
  • 4/21/2024 12:00:00 AM

U
Director Service Provider
  • Unity ILS Inc
  • Anaheim, CA
  • Job Description Job Description Overview: As a Direct Service Provider, you'll support individuals with disabilities or ...
  • 4/20/2024 12:00:00 AM

R
Provider Patient Concierge Rep
  • RadNet Orange County
  • Laguna Hills, CA
  • Pay Range: USD $24.00 - USD $27.44 /per hour Shift: Midday Shift Variations: M-F 8am to 5pm
  • 4/20/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 51.5 square miles (133 km2), of which, 51.3 square miles (133 km2) of it is land and 0.2 square miles (0.52 km2) of it is water. Moreno Valley is located at a geographic crossroad. To the east lie the San Gorgonio Pass and Coachella Valley; to the south are Lake Perris, Perris, the San Jacinto Mountains, and the route to San Diego; to the north are the San Bernardino Valley and San Bernardino Mountains. To the west lies neighboring Riverside, as well as Los Angeles and Orange Counties. The heavily traveled routes of Sta...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$183,212 to $264,607
Moreno Valley, California area prices
were up 3.0% from a year ago

Provider Contracting Director in Modesto, CA
Learn more about our provider networks and the members our networks support.
December 17, 2019
Provider Contracting Director in Lafayette, LA
Informal Provider - Cares for children who are related to them and possibly children from one other family.
January 14, 2020
Provider Contracting Director in Battle Creek, MI
New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process.
January 11, 2020