Responsible for leading complex, high-value provider contracting initiatives across Medicaid ... Advanced financial modeling and analytical skills (expert-level Excel proficiency required)
Responsible for leading complex, high-value provider contracting initiatives across Medicaid ... Advanced financial modeling and analytical skills (expert-level Excel proficiency required)
SHP Provider Contracting Consult-Senior
Corvallis, OR · On-site
$42.11 - $63.16/hr
Responsible for leading complex, high-value provider contracting initiatives across Medicaid ... Advanced financial modeling and analytical skills (expert-level Excel proficiency required)
SHP Provider Contracting Consult-Senior
Corvallis, OR · On-site
$42.11 - $63.16/hr
Responsible for leading complex, high-value provider contracting initiatives across Medicaid ... Advanced financial modeling and analytical skills (expert-level Excel proficiency required)
Responsible for leading complex, high-value provider contracting initiatives across Medicaid ... Advanced financial modeling and analytical skills (expert-level Excel proficiency required)
Responsible for leading complex, high-value provider contracting initiatives across Medicaid ... Advanced financial modeling and analytical skills (expert-level Excel proficiency required)
Develops contracting strategies aligned with organizational financial, network adequacy, quality ... Leads complex negotiations, performs financial and reimbursement analysis, ensures regulatory ...
Develops contracting strategies aligned with organizational financial, network adequacy, quality ... Leads complex negotiations, performs financial and reimbursement analysis, ensures regulatory ...
Develops contracting strategies aligned with organizational financial, network adequacy, quality ... Leads complex negotiations, performs financial and reimbursement analysis, ensures regulatory ...
Develops contracting strategies aligned with organizational financial, network adequacy, quality ... Leads complex negotiations, performs financial and reimbursement analysis, ensures regulatory ...
SHP Provider Contract Consultant
Corvallis, OR · On-site
$35.26 - $52.90/hr
Develops contracting strategies aligned with organizational financial, network adequacy, quality ... Leads complex negotiations, performs financial and reimbursement analysis, ensures regulatory ...
SHP Provider Contract Consultant
Corvallis, OR · On-site
$35.26 - $52.90/hr
Develops contracting strategies aligned with organizational financial, network adequacy, quality ... Leads complex negotiations, performs financial and reimbursement analysis, ensures regulatory ...
Vice President Contracting- Washington & Oregon
Portland, OR · Hybrid
$262K - $355K/yr
Vice President Contracting, Oregon/Washington Hybrid role (3 days/week in office) at our Portland ... Lead all aspects of provider network strategy including, access analysis, network operations and ...
Vice President Contracting- Washington & Oregon
Portland, OR · Hybrid
$262K - $355K/yr
Vice President Contracting, Oregon/Washington Hybrid role (3 days/week in office) at our Portland ... Lead all aspects of provider network strategy including, access analysis, network operations and ...
Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider ... Analytical skills to review documentation for completeness and compliance. * Ability to manage ...
Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider ... Analytical skills to review documentation for completeness and compliance. * Ability to manage ...
Provider Contract & Credentialing Coordinator
Corvallis, OR · On-site
$21.98 - $32.27/hr
Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider ... Analytical skills to review documentation for completeness and compliance. * Ability to manage ...
Provider Contract & Credentialing Coordinator
Corvallis, OR · On-site
$21.98 - $32.27/hr
Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider ... Analytical skills to review documentation for completeness and compliance. * Ability to manage ...
Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider ... Analytical skills to review documentation for completeness and compliance. * Ability to manage ...
Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider ... Analytical skills to review documentation for completeness and compliance. * Ability to manage ...
Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider ... Analytical skills to review documentation for completeness and compliance. * Ability to manage ...
Serves as a key liaison between Contracting, Credentialing, Compliance, and delegated provider ... Analytical skills to review documentation for completeness and compliance. * Ability to manage ...
Strategic Sourcing Contracting Administrator
Portland, OR · On-site
$41.04/hr
... providing contracting support on new strategic programs and projects, maintaining effective ... Coordinates with all levels of management to gather, analyze, summarize, and prepare ...
Strategic Sourcing Contracting Administrator
Portland, OR · On-site
$41.04/hr
... providing contracting support on new strategic programs and projects, maintaining effective ... Coordinates with all levels of management to gather, analyze, summarize, and prepare ...
Provider Electronic Data Specialist I
Bend, OR · Hybrid
$24.40 - $42.20/hr
As a member of the Provider Contracting and Business Operations team , the Provider Electronic Data ... Excellent problem-solving processes analysis, communication, and people skills. * Demonstrates the ...
Provider Electronic Data Specialist I
Bend, OR · Hybrid
$24.40 - $42.20/hr
As a member of the Provider Contracting and Business Operations team , the Provider Electronic Data ... Excellent problem-solving processes analysis, communication, and people skills. * Demonstrates the ...
Provider Electronic Data Specialist I
Portland, OR · Hybrid
$24.40 - $42.20/hr
As a member of the Provider Contracting and Business Operations team , the Provider Electronic Data ... Excellent problem-solving processes analysis, communication, and people skills. * Demonstrates the ...
Provider Electronic Data Specialist I
Portland, OR · Hybrid
$24.40 - $42.20/hr
As a member of the Provider Contracting and Business Operations team , the Provider Electronic Data ... Excellent problem-solving processes analysis, communication, and people skills. * Demonstrates the ...
Provider Electronic Data Specialist I
Medford, OR · Hybrid
$24.40 - $42.20/hr
As a member of the Provider Contracting and Business Operations team , the Provider Electronic Data ... Excellent problem-solving processes analysis, communication, and people skills. * Demonstrates the ...
Provider Electronic Data Specialist I
Medford, OR · Hybrid
$24.40 - $42.20/hr
As a member of the Provider Contracting and Business Operations team , the Provider Electronic Data ... Excellent problem-solving processes analysis, communication, and people skills. * Demonstrates the ...
VP Network Management - Washington & Oregon
Portland, OR · On-site
$262K - $355K/yr
Direct the provider network and contracting activities. * Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis ...
VP Network Management - Washington & Oregon
Portland, OR · On-site
$262K - $355K/yr
Direct the provider network and contracting activities. * Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis ...
Vice President Contracting- Washington & Oregon
Portland, OR · On-site
$262K - $355K/yr
Vice President Contracting, Oregon/Washington Hybrid role (3 days/week in office) at our Portland ... Lead all aspects of provider network strategy including, access analysis, network operations and ...
Vice President Contracting- Washington & Oregon
Portland, OR · On-site
$262K - $355K/yr
Vice President Contracting, Oregon/Washington Hybrid role (3 days/week in office) at our Portland ... Lead all aspects of provider network strategy including, access analysis, network operations and ...
VP Network Management - Washington & Oregon
Portland, OR · On-site
$262K - $355K/yr
Direct the provider network and contracting activities. * Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis ...
VP Network Management - Washington & Oregon
Portland, OR · On-site
$262K - $355K/yr
Direct the provider network and contracting activities. * Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis ...
... benefit design, provider contracting strategies, techniques, and operational processes ... Provides routine and/or intermittent reporting and analysis as appropriate of clinical program ...
... benefit design, provider contracting strategies, techniques, and operational processes ... Provides routine and/or intermittent reporting and analysis as appropriate of clinical program ...
... benefit design, provider contracting strategies, techniques, and operational processes ... Provides routine and/or intermittent reporting and analysis as appropriate of clinical program ...
... benefit design, provider contracting strategies, techniques, and operational processes ... Provides routine and/or intermittent reporting and analysis as appropriate of clinical program ...
Provider Contracting Analyst information
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SHP Provider Contracting Consult-Senior
Corvallis, OR • Remote
Full-time
Re-posted 11 days ago
Samaritan Health Services rating
6.8
Based on 67 frontline employees who took The Breakroom Quiz
Job description
- This is a remote position in which we are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
- JOB SUMMARY/PURPOSE
- Responsible for leading complex, high-value provider contracting initiatives across Medicaid, Medicare Advantage, and Commercial lines of business. Participates in the development of and executes multi-year contracting strategies for hospitals, health systems, large physician organizations, and other strategic providers. Serves as a subject matter expert in reimbursement methodologies, value-based payment design, and regulatory compliance. Leads high-stakes negotiations, performs advanced financial modeling, advises executive leadership on network strategy, and mentors contracting staff. Exercises broad discretion within delegated authority and significantly influences organizational cost-of-care, network adequacy, and quality performance outcomes.
- DEPARTMENT DESCRIPTION
Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.
- EXPERIENCE/EDUCATION/QUALIFICATIONS
- Bachelor’s degree in Business Administration, Healthcare Administration, Finance, or a related field, or equivalent related experience required.
- Four (4) years of progressive provider contracting experience in a managed care environment required.
- Experience negotiating complex hospital, health system, and risk-based agreements required.
- Experience across Medicaid, Medicare Advantage, and Commercial product lines required.
- Extensive experience designing and managing value-based payment and alternative payment models required.
- KNOWLEDGE/SKILLS/ABILITIES
- Deep understanding of federal and state regulatory requirements. Expert-level knowledge of healthcare reimbursement methodologies (DRG/IPPS, OPPS, capitation, percent-of-Medicare, bundled payments, risk arrangements).
- Advanced financial modeling and analytical skills (expert-level Excel proficiency required).
- Ability to manage multiple high-priority initiatives simultaneously. Exceptional negotiation, influence, and conflict resolution skills.
- Strong executive presence and ability to communicate complex financial concepts to senior leadership.
- Strategic thinker with strong business and market acumen.
- Proven leadership and mentoring capability.
- PHYSICAL DEMANDS
Rarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT (Knee to chest: 24"-54") 0 – 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
BEND FORWARD at waist
KNEEL (on knees)
STAND
WALK – LEVEL SURFACE
ROTATE TRUNK Standing
REACH - Upward
PUSH (0 - 20 pounds force)
PULL (0 - 20 pounds force)
SIT
CARRY 2-handed, 0 - 20 pounds
ROTATE TRUNK Sitting
REACH - Forward
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
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