• Pomona, CA
  • $120,400 Per Year
30+ days ago

Job Description

Position Summary:Negotiation and implementation of the hospitals managed care agreements as assigned by the Director of Managed Care. Coordination of managed care activities with payers and internal PVHMC departments to ensure successful implementation of new agreements and to problem-solve current agreements. Review and report trends, model rate JOB DESCRIPTION 04/18/2023 1 of 20 proposals, and analyze overall contract performance. Review, analyze and recommend contract language. Research statutes and regulations related to the managed care arena. Ensure department processes are efficient, and that contract documents are kept in a controlled and orderly manner. May perform other duties as assigned. Required Qualifications:Valid California Drivers License and ability to drive to off-site negotiations and meetings.High School or equivalent. Two years managed care negotiation experience. Preferred Qualifications:Bachelors Degree.Knowledge of hospital operations and health plans. Salary range:$120,400$137,200 annually.Salary will be commensurate with experience. As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.

Numbers & Facts

LocationPomona, CA

Skills

  • Analysis Skillsunmatched
  • Bid Analysisunmatched
  • Contract Analysisunmatched
  • Contract Managementunmatched
  • Contract Reviewunmatched
  • Driver's Licenseunmatched
  • Health Planunmatched
  • High School Diplomaunmatched
  • Hospitalunmatched
  • Legal Researchunmatched
  • Managed Careunmatched
  • Negotiation Skillsunmatched
  • Operations Planningunmatched
  • Performance Analysisunmatched
  • Problem Solving Skillsunmatched
  • Regulationsunmatched
  • Research Contractsunmatched
  • Trend Analysisunmatched
  • Vehicle Drivingunmatched

Be found by employers

5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

Level up your application

Professional resume templates

Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

Free resume templates

Free resume builder

Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

Free resume builder