Blue Cross and Blue Shield Association logo

Provider Contracting Specialist, Consultant

Blue Cross and Blue Shield Association
  • Long Beach, CA
  • Autofill and Review
9 days ago

Job Description

Your Role

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.

In this role, you will independently manage complex provider negotiations and contracting initiatives from strategic and financial analysis through execution, implementation, and issue resolution. You will partner across the organization to advance affordability, network access, and business objectives while ensuring work is executed within established contracting strategies, policies, controls, and approval requirements. You will be accountable for the timely execution and performance of your assigned portfolio, proactively identifying risks and escalating matters requiring broader policy, resource, or executive decisions.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Numbers & Facts

LocationLong Beach, CA
IndustryInsurance
Company Size2,000 to 2,499 employees
Websitehttps://www.bcbs.com/about-us/careers

About Company

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Skills

  • Consultingunmatched
  • Contract Managementunmatched
  • Contract Negotiationunmatched
  • Financial Analysisunmatched
  • Healthcare Providersunmatched
  • Leadershipunmatched
  • Network Performance/Analysisunmatched
  • Problem Solving Skillsunmatched
  • Provider Contractingunmatched
  • Risk Analysisunmatched
  • Standards Strategyunmatched
  • Strategic Analysisunmatched
  • Strategic Planningunmatched
  • Time Managementunmatched

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