Provider Contracting Manager jobs in Roseville, CA

Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Manager, Provider Contracting
  • Adventist Health
  • Roseville, CA FULL_TIME
  • Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus â€" a rejuvenating place for associates systemwide to collaborate, innovate and connect.

    Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

    Job Summary:

    Directs provider contracting activities on behalf of the organization. Develops, maintains and revises policies and procedures for the operations and compliance of provider contracting. Works with executive management on issues or escalated items. Assists in the management of medical group contracting as well as system-wide provider compensation practices. Oversees the development and implementation of a contracting system including cataloging, standardizing, measuring performance and ensuring compliance. Supervises and directs the activities of various levels of assigned personnel utilizing both professional and supervisory discretion and independent judgment.

    Job Requirements:

    Education and Work Experience:

    • Bachelor's Degree or equivalent combination of education/related experience: Required
    • Master's Degree: Preferred
    • Five years' related experience: Preferred
    • One year leadership experience: Preferred

    Essential Functions:

    • Oversees the contract development for providers across the system. Takes appropriate actions to facilitate the timely flow of contract documents through the approval process. Manages the database of the provider contract terms and ensures communication to all stakeholders.
    • Works with legal and compliance teams on escalated provider issues. Communicates issues to legal and compliance and assists in resolution as necessary. Provides advanced knowledge and understanding of legal and regulatory requirements related to provider contracting and compensation. Maintains responsibility to ensure contract compliance standards are applied and maintained.
    • Develops close relationships with hospital leadership, communicating as needed, to ensure the collaborative management of provider contracts.
    • Participates in various subject-focus meeting groups to provide insight, expertise, metrics and data on provider contracting.
    • Exercises independent judgment in recruiting, training, coaching, supervising and directing assigned associates.
    • Performs other job-related duties as assigned.

    Organizational Requirements:

    Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

  • 1 Month Ago

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Project Manager
  • Performance Contracting Group
  • North Highlands, CA OTHER
  • Company Overview Performance Contracting Group is a national employee-owned specialty contractor that offers quality services and products to the commercial, industrial, and non-residential constructi...
  • 1 Month Ago

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Senior Counsel, Physician Contracting (Remote)
  • Adventist Health
  • Roseville, CA FULL_TIME
  • Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified ca...
  • 23 Days Ago

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Project Engineer
  • Performance Contracting Group
  • North Highlands, CA OTHER
  • Company Overview Performance Contracting Group is a national employee-owned specialty contractor that offers quality services and products to the commercial, industrial, and non-residential constructi...
  • 16 Days Ago

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Garage Door Installer
  • Alcal Specialty Contracting, Inc.
  • Sacramento, CA FULL_TIME
  • ALCAL SPECIALTY CONTRACTING, INC. IS CURRENTLY ACCEPTING RESUMES FOR A GARAGE DOOR INSTALLER POSITION TYPE: Full-Time, Hourly LOCATION: Sacramento, CA BENEFITS: Union RESPONSIBILITIES: Assures there i...
  • Just Posted

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Project Engineer
  • Performance Contracting, Inc.
  • North Highlands, CA FULL_TIME
  • Project Engineer Job Locations US-CA-North Highlands Job ID 2024-5418 Category Construction Management Type Full-Time Company Overview Performance Contracting Group is a national employee-owned specia...
  • 27 Days Ago

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0 Provider Contracting Manager jobs found in Roseville, CA area

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Project Manager
  • Capio Group
  • Sacramento, CA
  • Job Description Job Description Capio Group is looking for an experienced Project Manager Full-time employee - Remote Ab...
  • 4/23/2024 12:00:00 AM

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Contracts Services Officer
  • Insight Global
  • Sacramento, CA
  • Location: Sacramento, CA Pay Rate: $27/hr - $40/hr Duration: 6 Month Contract + extensions Onsite: 5 days a week Must Ha...
  • 4/22/2024 12:00:00 AM

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Corporate Paralegal
  • Sky River Casino
  • Sacramento, CA
  • The Corporate Paralegal is responsible for providing day-to-day paralegal support to the Legal Department for Sky River ...
  • 4/21/2024 12:00:00 AM

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Construction Contracts Manager
  • LHH
  • Roseville, CA
  • A well-established construction and engineering company based in Roseville, CA is seeking a Contracts Manager to join th...
  • 4/20/2024 12:00:00 AM

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Contract Services Officer
  • Insight Global
  • Sacramento, CA
  • Required Skills & Experience • Bachelor’s degree in a relevant field (e.g., Business Administration, Contract Management...
  • 4/20/2024 12:00:00 AM

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Contracts Services Officer
  • Insight Global
  • Sacramento, CA
  • Location: Sacramento, CA Pay Rate: $27/hr - $40/hr Duration: 6 Month Contract + extensions Onsite: 5 days a week Must Ha...
  • 4/19/2024 12:00:00 AM

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Recruitment Team Leader
  • Employablenetwork
  • Davis, CA
  • **Recruitment Team Leader** **Job ID**: 1521707 **Job Views**: 1594 **Location:** London, United Kingdom **Postcode:** *...
  • 4/19/2024 12:00:00 AM

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Construction Project Coordinator
  • Staples Construction Co. Inc.
  • Rocklin, CA
  • Job Description Job Description Primary Functions: The Project Coordinator is the link between the jobsite, office, and ...
  • 4/19/2024 12:00:00 AM

Roseville (formerly, Roseville Junction, Junction, and Grider's) is the largest city in Placer County, California, United States, in the Sacramento metropolitan area. As of 2016, the US Census Bureau estimated the city's population to be 132,683. Interstate 80 runs through Roseville and State Route 65 runs through part of the northern edge of the city. According to the Roseville Civic Center, the city has a total area of 42.26 square miles (109.5 km2), of which, 42.24 square miles (109.4 km2) of it is land and 0.002 square miles (0.0052 km2) of it (0.00%) is water. Several streams flow through...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$117,692 to $156,295
Roseville, California area prices
were up 2.5% from a year ago

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In order to properly oversee provider contracts, insurance companies must ensure all the medical professionals they are contracting with are properly credentialed; maintain detailed price sheets to standardize how much they are paying for services; and keep historical records of each account.
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The Senior Provider Contract Manager is responsible for developing, negotiating, managing and leading complex contractual, legal and financial arrangements with providers that ensure CCA members have superior access to the highest quality, cost-effective providers of healthcare services.
January 03, 2020