Manager, Provider Contracting - Oakland, United States - Altais Health Solutions

Description

Job Description

About Our Company

At Altais, we're looking for bold and curious innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, patients, and the clinical community. At Altais, we're building breakthrough clinical support tools, technology, and services to let doctors do what they do best: care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve. Altais family of companies include: Brown & Toland Physicians, Family Care Specialists and Altais Medical Groups.

About Your Team

Are you looking to work with a high performing, fast growing and dynamic contracting team? We are 4,000+ physicians, working in over 40 cities throughout California, caring for more than 500,000 patients. If you are passionate about reshaping healthcare and want to work for a mission driven organization where new ideas and innovation are valued, then we would like to meet you.

This position is located in our brand-new Oakland City Center location, or remotely (within the state of California). We are flexible provided you are open to traveling to the Oakland office locations as needed.

About Your Work

Are you ready to step into a pivotal role where your leadership skills will shine? As the Manager of Provider Contracting at Altais, you will lead our Provider Contracting Team with finesse and strategic vision. Your primary responsibilities will encompass overseeing the negotiation and network adequacy for all ancillary and hospital providers within our network. You'll be the linchpin of our cross-functional team, collaborating directly with various managed care operational departments to ensure seamless integration and success. Your influence will extend beyond mere oversight; you'll play a critical role in expanding our network while maintaining its integrity. Building and nurturing relationships with key stakeholders such as hospitals, large physician groups, and ancillary providers will be second nature to you. You'll serve as the primary liaison for operational matters, fostering synergy through joint operation meetings. Your expertise in contract management and negotiation will be instrumental in securing favorable agreements with diverse provider types. Join us in driving excellence in healthcare delivery and take your career to new heights with Altais.

You will focus on:

• Develop and implement corporate contracting strategies to stabilize healthcare costs and manage budget constraints effectively.
• Cultivate and maintain strong relationships with key hospitals, network providers, and ancillary vendors.
• Lead negotiations for both fee-for-service and value-based reimbursements across diverse provider groups.
• Analyze financial performance and healthcare costs of provider contracts in collaboration with the Finance Division.
• Drive seamless contract implementations and swiftly resolve any arising issues.
• Design and execute quality-driven value-based contracting incentives and reimbursement methodologies.
• Expertly navigate and resolve complex contractual issues with both internal and external stakeholders.
• Coordinate and lead joint operation meetings with essential provider partners to optimize collaboration and performance.
• Provide comprehensive training to the contracting team on operational changes and upcoming projects.
• Ensure accurate and timely communication of new and renewed managed care arrangements internally.

The Skills, Experience & Education You Bring

• Education: Bachelor's degree in a healthcare-related field preferred; advanced degree desirable.
• Professional Background: Over 8 years of experience in managed healthcare administration, preferably in IPA/managed care settings, with a strong financial background and expertise in contract preparation.
• People Management Experience: Previous experience in team leadership and development.
• Healthcare Industry Insight: Extensive knowledge across various healthcare sectors.
• Contracting Knowledge: Comprehensive understanding of healthcare contracting and reimbursement methodologies.
• Effective Communication: Outstanding ability to communicate with various stakeholders, both verbally and in writing.
• Management Skills: Proficient in guiding teams and fostering skill development to achieve goals.
• Analytical Aptitude: Strong skills in financial analysis and performance interpretation.
• Interpersonal Savvy: Highly adept at building and maintaining collaborative relationships.
• Negotiation Expertise: Proven track record in negotiating strategic initiatives.

You Share our Mission & Values

• You are passionate about improving the healthcare experience and want to be part of the Altais mission.
• You are bold and curious- willing to take risks, try new things and be creative.
• You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
• You are compassionate and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
• You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
• You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.

Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate's qualifications, skills, experience, and geographic location. This base pay range is specific to California and can vary based on Bay Area, Metro LA, and Greater California regions which may not be applicable to other locations.

Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our 'CPRA Privacy Notice for California Employees and Applicants' to learn how we collect and process your personal information when you apply for a role with us.

Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of workday.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.