Provider Contracting Manager jobs in Santa Rosa, 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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Primary Care Provider
  • Pine Park Health
  • Santa Rosa, CA FULL_TIME
  • Welcome to Pine Park Health!

    About Us

    Pine Park Health is redesigning primary care at home for residents of seniors living communities with a value-based approach specifically designed to meet their unique needs. We offer services directly in residents' homes, including preventative care, chronic condition management, and laboratory tests. Our primary care team visits each community regularly, working closely with staff to address individual health concerns. Additionally, we provide rapid access to medical care by offering same-day or next-day appointments for urgent issues, helping reduce the need for unnecessary emergency room visits and hospital admissions. 

    Our innovative model has attracted over 150 community partnerships and accelerated patient growth across California, Arizona, and Nevada. Pine Park Health is rapidly expanding, backed by investors including First Round Capital, Google’s AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa Ventures. As our team grows quickly, we are seeking individuals who are passionate about helping seniors live meaningful and fulfilling lives, regardless of their health conditions, to join us in this mission.

    The Opportunity 

    Pine Park Health is looking for a founding Primary Care Provider, responsible for delivering care in our Sonoma County, California market. We are seeking someone who is excited about the opportunity to work with a smaller patient panel of complex care patients, contribute to a value-based care model, and work with a motivated multi-disciplinary team to provide high-quality patient care. This person-centered care model works to leverage the power of our care navigators to maximize the time and energy of our providers.

    What You’ll Do

    • Provide onsite primary care services to older adults living in Senior Living Communities
    • Develop and execute detailed person-centered care plans on all primary care patients
    • Work with Medical Director to identify and develop policies to address issues that arise which affect day to day practice, culture or clinical guidelines, including for emerging disease(s)
    • Work with Primary Care Coordinators (PCC's) to provide monthly Chronic Care Management (CCM) visits and care; review and sign off on CCM documentation by PCC's
    • Work with Traveling Clinical Assistants (TCA's) to support diagnostic needs for each patient in communities
    • Run regular huddles and provide leadership to the clinical team
    • Identify ways of working with senior living management and care teams to better carry out Pine Park care plans and improve patient outcomes

    What We’re Looking For

    • Board-Eligible or Board-Certified Physicians in Internal Medicine or Family Medicine OR Nurse Practitioner or Physician Assistant - preferably with geriatrics experience
    • Comfortable with a fast-paced and changing environment
    • Willingness to provide onsite clinical care across Riverside
    • Desire to work with complex care patients and support the building of a holistic care model
    • Strong orientation towards collaboration and working closely with a multidisciplinary team; values input of all members of the clinical team
    • Strong written and verbal communicator
    • Ability to work with tech-enabled care delivery tools (e.g.,project management, 'checklist' management, remote monitoring, etc.) used together to improve patient care and team function

    Why You'll Love Us

    • We’re a smart, heart-centered, low-ego group motivated to make waves in the lives of seniors and the healthcare industry. 
    • We’re solving complex, vital problems that affect real people and need bright, focused, driven minds like yours to help us achieve our goals. 
    • We empower team members to act like owners and have designed a learning-focused environment where you get ongoing support and regular feedback to help you grow.  
    • We host social events to celebrate wins, mark team member milestones and let go by having fun.

    Benefits Designed for You and Yours

    • Medical, vision, and dental insurance
    • FSA and Dependent Care FSA
    • 401K retirement plan
    • 10 paid holidays
    • 15 days paid time off
    • Paid sick days
    • Paid parental leave
    • Mileage and cell phone reimbursement
    • Monthly wellness allowance
    • Professional/personal development annual allowance

    Significant travel and startup hours are required for this role. You must have the ability to drive between partner communities as needed.

    Pine Park Health provides the highest safety and quality of care for patients who can be at high-risk of COVID-19. To support this work, we require vaccination for all employees and proof of vaccination before hiring.

    For individuals assigned and/or hired to work in California, Pine Park Health is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to California and considers the factors that are considered in making compensation decisions, including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Pine Park Health, it’s common for an individual not to be hired at or near the top of the range for their role, and compensation decisions depend on each case's facts and circumstances. A reasonable estimate of the current range is $140,000 to $160,000.

    Pine Park Health is an equal opportunity employer — we aim to recruit, hire, develop, compensate, and promote regardless of race, religion, country of origin, gender, sexual orientation, age, marital status, veteran status, or disability.

  • 24 Days Ago

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Advanced Practice Provider, Gynecology
  • Adventist Health System/West
  • Lucerne, CA FULL_TIME
  • Adventist Health Clear Lake is actively seeking an experienced Advanced Practice Provider (NP or PA) to serve in a family health clinic in Lucerne, CA. The incoming Advanced Providers will work with a...
  • 26 Days Ago

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Advance Practice Provider, Pediatrics
  • Adventist Health System/West
  • Lucerne, CA FULL_TIME
  • Adventist Health Clear Lake is actively seeking an experienced Advanced Practice Provider (NP or PA) to serve in a family health clinic in Lucerne, CA. The incoming Advanced Providers will work with a...
  • 26 Days Ago

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In-Home Care Provider
  • Right at Home
  • Santa Rosa, CA FULL_TIME
  • Are you passionate about making a positive impact on the lives of elderly individuals? Do you possess a genuine desire to provide personal and companion care that goes beyond routine tasks? If so, we ...
  • 28 Days Ago

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EHR Provider Specialist
  • Adventist Health Clear Lake
  • Clearlake, CA FULL_TIME
  • Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by...
  • 1 Month Ago

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Sr. Provider Recruiter, Physician & Provider Recruitment, Lake/Butte/Tehama Clinics
  • Adventist Health
  • Clearlake, CA FULL_TIME
  • Located in beautiful Northern California, Adventist Health Clear Lake has been a leading healthcare provider in Lake County since 1968. We are comprised of a 25-bed critical access hospital and provid...
  • 13 Days Ago

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0 Provider Contracting Manager jobs found in Santa Rosa, CA area

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Contracts Manager - Contract
  • GQR
  • Novato, CA
  • Job Title: Contracts Manager Location: Novato, CA Status: One year, potential extension Hourly rate: $50 to $55 DOE JOB ...
  • 4/24/2024 12:00:00 AM

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Business Development Associate
  • Ojjo
  • San Rafael, CA
  • The Business Development Associate will be responsible for working closely with the BD team responsible for both the sal...
  • 4/23/2024 12:00:00 AM

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Contract Administrator
  • Scion Staffing
  • San Rafael, CA
  • Scion Nonprofit has been engaged to conduct an immediate search for an experienced Contract Administrator for our client...
  • 4/22/2024 12:00:00 AM

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Legal Specialist
  • Tucker Parker Smith Group (tps Group)
  • San Rafael, CA
  • Job Title: Contracts Associate (Pharmaceutical / Sciences) Category: Legal / Government Affairs Location: San Rafael, CA...
  • 4/22/2024 12:00:00 AM

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Senior Administrative Assistant
  • Tandym Group
  • Novato, CA
  • A biopharmaceutical company in the Bay Area is actively seeking an experienced Administrative Assistant for a great Seni...
  • 4/21/2024 12:00:00 AM

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Vendor Contract Manager
  • Redwood Credit Union
  • Napa, CA
  • Redwood Credit Union is a not-for-profit financial institution that believes in people over profits. Our mission is to p...
  • 4/21/2024 12:00:00 AM

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Contracts Manager - Contract
  • Gqr
  • Novato, CA
  • Job Title: Contracts Manager Location: Novato, CA Status: One year, potential extension Hourly rate: $50 to $55 DOE JOB ...
  • 4/20/2024 12:00:00 AM

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Contract Administrator
  • Scion Staffing
  • San Rafael, CA
  • Scion Nonprofit has been engaged to conduct an immediate search for an experienced Contract Administrator for our client...
  • 4/20/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 41.50 sq mi (107.5 km2), of which 41.29 sq mi (106.9 km2) is land and 0.205 sq mi (0.5 km2) (0.49%) is water. The city is part of the North Bay region, which includes such cities as Petaluma, Rohnert Park, Windsor, and smaller cities as Sonoma, Healdsburg, Sebastopol. It lies along the US Route 101 corridor, approximately 55 miles (89 km) north of San Francisco, via the Golden Gate Bridge. Santa Rosa lies on the Santa Rosa Plain. The city's eastern extremities stretch into the Valley of the Moon, and the Sonoma Creek wa...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Manager jobs
$120,639 to $160,210
Santa Rosa, California area prices
were up 2.5% from a year ago

Provider Contracting Manager in Scranton, PA
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.
December 11, 2019
Provider Contracting Manager in Allentown, PA
The complete report provides the full listing of all companies nominated, as well as benchmark ratings for a listing of 40+ companies in account support and contracting.
January 16, 2020
Provider Contracting Manager in Savannah, GA
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