Where Youll Work
As our Manager Network Strategy you will support programs aligned with clinically integrated physician networks and value-based care activities and you will lead the building analysis and optimization of healthcare provider networks.
Every day you will drive data-informed decisions to support growth reduce out-of-network leakage and improve quality and cost efficiency within various regional markets and our Value-Hub healthcare delivery system. You will also support our value-based care programs and initiatives manage provider data entry applications and oversee CIN and provider-facing provisioning needs.
Job Summary and Responsibilities
1. Negotiate and review ancillary primary care hospital and specialty provider agreements for
DHMSO including reviewing reimbursement methodologies and preparing documentation for new
contracts amendments and terminations.
2. Conduct analysis of large healthcare datasets and network performance metrics for Dignity Health including cost quality and utilization to identify patterns trends opportunities and areas for
improvement.
3. Build and maintain the Health Plan Matrix (HP Matrix) to summarize payor arrangements and
contract structures to support operational clarity.
4. Collaborate with finance claims network and market leadership to audit system inputs and support
contracting initiatives payer relationships and alignment with organizational requirements.
5. Develop and maintain weekly KPIs and dashboards used by executive leadership to assess network
adequacy performance and market growth opportunities.
6. Position is based out of the Bakersfield CA HQ office but telecommuting is permitted on a case-by-casebasis.
7. TRAVEL: Unanticipated domestic travel within the U.S. to California Colorado Arizona and Texas for
conferences business meetings corporate training and team development. Travel to not exceed
10% a year.
Job Requirements
Education Requirements:
Masters degree in Healthcare Decision Analysis Health Management Public Health or
closely related.
Experience Requirements:
24 months of experience in a job offer Senior Analyst -Provider Contracting or closely related.
Special skills requirements:
1. Experience in negotiating contracts with hospitals ancillary providers primary care physicians and
specialist groups.
2. Experience drafting provider agreements and managing contract templates including template
governance and version control.
3. Proficiency in data analytics for provider network evaluation reimbursement modeling and contract
performance monitoring using Contract Management System (CLM).
4. Experience working with DOFR (Division of Financial Responsibility) matrices capitation
arrangements carve-outs and risk-based payment models using EZ Cap.
5. Experience using healthcare contracting contract management system and data tools such as
Symplr SharePoint and Quest Analytics.
Qualified applicants send cover letter and resume to: Dignity Health Thea Bruzdzinski Director Talent
Acquisition ref job#XW01. EOE. Standard Benefits.
#LI-DNI #FB-DNI #IN-DNI #TW-DNI #GD-DNI
Salary: $72-$78/hour
Work Schedule: 40 hours/week
Required Experience:
Manager
Where Youll WorkAs our Manager Network Strategy you will support programs aligned with clinically integrated physician networks and value-based care activities and you will lead the building analysis and optimization of healthcare provider networks.Every day you will drive data-informed decisions to...
Where Youll Work
As our Manager Network Strategy you will support programs aligned with clinically integrated physician networks and value-based care activities and you will lead the building analysis and optimization of healthcare provider networks.
Every day you will drive data-informed decisions to support growth reduce out-of-network leakage and improve quality and cost efficiency within various regional markets and our Value-Hub healthcare delivery system. You will also support our value-based care programs and initiatives manage provider data entry applications and oversee CIN and provider-facing provisioning needs.
Job Summary and Responsibilities
1. Negotiate and review ancillary primary care hospital and specialty provider agreements for
DHMSO including reviewing reimbursement methodologies and preparing documentation for new
contracts amendments and terminations.
2. Conduct analysis of large healthcare datasets and network performance metrics for Dignity Health including cost quality and utilization to identify patterns trends opportunities and areas for
improvement.
3. Build and maintain the Health Plan Matrix (HP Matrix) to summarize payor arrangements and
contract structures to support operational clarity.
4. Collaborate with finance claims network and market leadership to audit system inputs and support
contracting initiatives payer relationships and alignment with organizational requirements.
5. Develop and maintain weekly KPIs and dashboards used by executive leadership to assess network
adequacy performance and market growth opportunities.
6. Position is based out of the Bakersfield CA HQ office but telecommuting is permitted on a case-by-casebasis.
7. TRAVEL: Unanticipated domestic travel within the U.S. to California Colorado Arizona and Texas for
conferences business meetings corporate training and team development. Travel to not exceed
10% a year.
Job Requirements
Education Requirements:
Masters degree in Healthcare Decision Analysis Health Management Public Health or
closely related.
Experience Requirements:
24 months of experience in a job offer Senior Analyst -Provider Contracting or closely related.
Special skills requirements:
1. Experience in negotiating contracts with hospitals ancillary providers primary care physicians and
specialist groups.
2. Experience drafting provider agreements and managing contract templates including template
governance and version control.
3. Proficiency in data analytics for provider network evaluation reimbursement modeling and contract
performance monitoring using Contract Management System (CLM).
4. Experience working with DOFR (Division of Financial Responsibility) matrices capitation
arrangements carve-outs and risk-based payment models using EZ Cap.
5. Experience using healthcare contracting contract management system and data tools such as
Symplr SharePoint and Quest Analytics.
Qualified applicants send cover letter and resume to: Dignity Health Thea Bruzdzinski Director Talent
Acquisition ref job#XW01. EOE. Standard Benefits.
#LI-DNI #FB-DNI #IN-DNI #TW-DNI #GD-DNI
Salary: $72-$78/hour
Work Schedule: 40 hours/week
Required Experience:
Manager
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