Payer Strategy Physician Contract Specialist

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

This is a remote position with a strong preference for the person to live in California and have California physician contract experience.

Job Summary:

The Contract Specialist Divisional Payers Payer Strategy & Relationships (PSR) works closely with Divisional Payers the Payer Relations Manager Divisional Directors National PSR team and the PSR Analytics & Innovation team to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary focus of contracting and negotiation support is to ensure the terms and conditions of the payer contract adhere to the CSH Standards and Guidelines represent industry best practices for Fee for Service and value-based arrangements and align with operational objectives.

Job Responsibilities:

Minimum Qualifications:

• Education - High school diploma required. Bachelors Degree in related discipline or equivalent work experience.
• Experience - One (1) to two (2) years physician contract negotiation experience is required. Three (3) to five (5) years experience preferred.
• Skills Knowledge and Abilities - This position requires knowledge and experience in reimbursement of the financial aspects of contracting and managed care operations.
• Additionally effective negotiation skills project management skills excellent written and verbal communication skills and expertise and experience with Microsoft/Google Suite(Excel/Word) are required.