Remote Provider Network Management Jobs in California

JOB SUMMARY 

Accountable for a wide range of duties in support of client management activities, including but not limited to, reporting, interpretation and analysis, presentations, in support of various client RBO performance improvement efforts. Accountable for identification of client RBO improvement opportunities through functioning as an analyst, facilitator, consultant, and/or project manager as required within our performance improvement initiatives. Interfaces regularly with Provider Practice leaders to produce relevant, reliable, accurate and timely results and deliverables. 

Company is seeking a candidate who can think strategically and execute tactically. He/she will be customer-focused, detail oriented, articulate and credible and have the ability to instill confidence in the most demanding customers. 

This individual needs to be able to work independently and with little supervision; prioritizes and manages multiple tasks to meet deadlines; and seeks guidance from manager as needed to clarify assignments or requests, ask questions, or seek additional information. 

Include the following. Others may be assigned.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

1. Work collaboratively with Provider Practice team and senior leaders in setting direction of client RBO improvement efforts including: defining issues; identifying root causes; interpreting data; understanding data dependencies; goal setting; establishing tracking and reporting metrics; updating project plans; and, providing performance reports and deliverable preparation.  

2. Effectively organize content & format of documents & analyses to facilitate understanding & decision making by VBC and client senior leaders.  

3. Provide project management, analysis, and/or technical expertise for a broad array of RBO client initiatives. Has responsibility for assisting teams in support of Regional or National Analysis.  

4. Synchronize efforts between Provider Practice and other VBC operating units in support of client RBO performance improvement initiatives.  

5. Develop, implement, analyze, and maintain VBC dashboards, scorecards, status reports and other standard reports.  

6. Produce and develop deliverables for VBC client meetings.

SUPERVISORY RESPONSIBILITIES  

This position reports to the Director or Senior Director, West Region Provider Practice and requires moderate degree of supervision to ensure strategic initiatives and client expectations are prioritized, met, and successfully implemented.  

Candidates that exhibit most of the following preferred qualifications will be well suited for this position.  However, 

• General working knowledge of the risk bearing organization and the delegated UM, Credentialing, Network Management, Customer Service, Finance, and Case Management functions. 
• General working knowledge of risk bearing operating and performance revenue and expense levers 
• Effective writing, presentation, and communication skills, including effective in influencing and negotiating - builds relationships and respect across functions and at all levels to gain support  
• Intermediate-advanced analytical skills demonstrated through the successful performance of numerous special analytical projects  
• Soft skills, including business partnering in a matrix organization  
• Ability to interpret requests/requirements and effectively present data to support performance improvement activities  
• Ability to prioritize work efforts, work independently, and leverage problem solving skills to research and resolve complex issues  
• Ability to work successfully under deadlines  
• Requires an understanding of systems and processes that impact revenue cycle performance and capabilities.  
• Possesses the ability to build trusting relationships with Client Executives at all levels.  
• Possesses analytical ability sufficient to work in a data-heavy environment and to identify trends in the data.  
• Possess business acumen with an emphasis on effective communication (i.e., listening, written and verbal), negotiation, influencing decision makers, business planning, strategy, problem solving, decision making and time management skills.  
• Understanding of the market, trends, competition, and key pain points for hospital executives.  
• Intermediate MS Office required (Outlook, Excel, Word, and PowerPoint). Excel Pivot Tables and Access skills a plus.  

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment.  This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. 

EDUCATION / EXPERIENCE 

• Bachelor's degree or higher preferred 
• 2-4 years of health plan or management service organization experience in managing risk bearing organizations or related area 
• 2+ years in managed care experience preferred 

REQUIRED CERTIFICATIONS/LICENSURE 

• No 

PHYSICAL DEMANDS  

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• Must be able to work in a sitting position, use a computer and answer telephone 
• Light physical effort (lift to 10 lbs.).   

WORK ENVIRONMENT  

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• Office Work Environment 
• Hospital Work Environment 

TRAVEL 

• This position requires local (50-mile radius) travel at least 30% of the time. 

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions?  Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Compensation and Benefit Information

Compensation

• Pay: $51,625.60 - $77,438.40 annually. Compensation depends on location, qualifications, and experience. 
• Management level positions may be eligible for sign-on and relocation bonuses.

Benefits

Conifer offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, life, and business travel insurance
• Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.