Easter Seals Jobs

We are so glad you are interested in joining Sutter Health!

Organization:

MMC-Memorial Medical Center

Position Overview:

Sutter Memorial Medical Center strives to provide high quality, compassionate care to each patient, while exercising prudent fiscal responsibility.

Sutter Memorial Medical Center is a community based and not-for-profit organization that exists to maintain and improve the health status of the citizens of greater Stanislaus County. We extend selected services to other communities whenever this will meet the critical needs and when it will enhance the productivity of local resources.

We pursue our mission by providing and promoting effective health care services and by fostering an integrated system of care in partnership with physicians, other health care providers, and payers. We provide access to a full continuum of care, built upon a core of sophisticated hospital-based services.

Ensures the consistent management of physician/provider contracts including oversight of the contract management process, development of specific standards, contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager's role in the contract development process requires close collaboration with various departments, including clinical operations, project management, account management, business operations and finance.

Job Description :

This role will support the Central Valley Division. The ideal candidate will have extensive experience in referral source contracting (direct hospital-physician contracting)

EDUCATION:

• Equivalent experience will be accepted in lieu of the required degree or diploma.

• Bachelor's: Degree in Finance, Business Administration, Health Administration or closely related field.

TYPICAL EXPERIENCE:

• 8 years recent relevant experience.

SKILLS AND KNOWLEDGE:

• Knowledge of the structure of health care plan products including HMOs and Preferred Provider Organizations (PPOs) as well as Employee Retirement Income Security Act (ERISA) laws and regulations.

• Working knowledge of health care contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting

• Ability to systematically analyze complex problems, draw relevant conclusions and implement appropriate solutions.

• Verbal and written skills, and ability to convey complex information in a way that others can readily follow.

• Negotiating and persuasive skills, both in one-on-one and group situations.

• Demonstrated organizational skills with the ability to complete multiple complex projects within established time parameters.

• Problem solving and analysis to include financial, business, and contract language terms.

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $48.72 to $73.08 / hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package. ​