Provider Contracting Specialist, Consultant
Ascendiun
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- Location
- Rancho Cordova, CA
- Job type
- Full time
- Posted
- Nov 3
- 1 day ago
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Career path
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About the company
Ascendiun
Hospital & health care · 2 to 10 employees
What you'll do
- Execute an assigned portfolio of provider negotiations
- Execute contracting initiatives within statewide strategies, governance standards, priorities, and the escalation framework
What you need
- Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree required
- 7 years of prior relevant experience required Previous experience with provider contracting and negotiation experience, including experience managing complex negotiations and provider contracting processes preferred
- Advanced working knowledge of provider contracting, reimbursement methodologies, provider contract language, financial impact analysis, and provider network management preferred
- Working knowledge of managed care operations and the financial, operational, legal, regulatory, and member implications of provider agreements preferred
- Demonstrated ability to interpret data, evaluate alternatives, develop negotiation strategies, and translate analysis into practical recommendations preferred
- Strong project and portfolio-management skills, including the ability to manage multiple negotiations, milestones, dependencies, and competing priorities preferred
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Read the full posting here
The Provider Network Management team is responsible for provider contracting and network performance across California. The Provider Contracting Specialist, Consultant is accountable for executing an assigned portfolio of provider negotiations and contracting initiatives within the statewide strategies, governance standards, priorities, and escalation framework established by contracting leadership.