Job Information
PacificSource Manager of Provider Contracting in Tacoma, Washington
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age. Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person\'s talents and strengths. Position Overview: Manage a team of Contract Specialists and Representatives accountable to lead, develop, and maintain strong, positive contractual and overall relationships with providers. Oversee all aligned incentive contracting. Deploy resources and oversee key work processes to achieve critical goal attainment across all lines of business including commercial, Medicare and Medicaid. Proactively manage assigned provider accounts to achieve PacificSource\'s strategies and goals for product and provider contract development. Essential Responsibilities: * * Provide supervision, coaching, training, support, evaluation, and leadership to assigned staff. * Manage and maintain effective provider networks and monitor the adequacy of those networks. * Accountable for network contracting results for assigned markets or provider entities and efficiently manage resources to achieve department goals and initiatives. * Lead complex negotiations and implementation of provider contracts for assigned markets or provider entities and oversee various points of contact for assigned accounts with respect to negotiations and service. * Proactively communicate with PacificSource management on account status to facilitate proper internal support of account management efforts. * Develop and implement contracting strategies which meet corporate financial objectives; working within the budgetary guidelines. * Exercise independent judgment and communicate effectively with other leaders in the Provider Network Department and other related internal staff. * Communicate regularly with internal staff, departments, and district offices the status of contract negotiations and potential impact on operations throughout the negotiation process and obtain feedback as appropriate to ensure the final contract supports the PacificSource operational and strategic goals. * Partner with other Provider Network leaders to ensure PacificSource strategies are being met with the provider community. * Build and maintain positive provider relationships that foster a collaborative approach to quality care, network stability and cost containment. * Accountable for the relationship management for assigned provider accounts which includes the multi-disciplinary PacificSource team to provide operationally excellent service and support to the accounts. * Participate in provider specific and public presentations as indicated. * Participate in special projects related to PacificSource initiatives and other duties as assigned. * Demonstrate knowledge and support of PacificSource corporate initiatives. * Proactively develop positive working relationships with other PacificSource departments and staff to resolve provider issues. Supporting Responsibilities: * Meet department and company performance and attendance expectations. * Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of prot To view the full job description,