PeaceHealth is hiring for a System Director Physician and Provider Contracting!
Do you enjoy and have a talent for...
Overseeing and managing the system, processes and standards for physician and allied health provider contracting
Assuring associated regulatory compliance, organizational integrity and business objectives are met
Being accountable for all activities associated with medical staff contracting and associated regulatory and quality standards
Based in the beautiful Portland metro-area, our PeaceHealth Services Center is actively recruiting for a System Director Physician and Provider Contracting. A champion for improvement and growth, our ideal candidate will have a track record of providing leadership towards negotiation, in collaboration with other identified leaders for contracting arrangements. Develop, implement, and evaluate physician compensation strategies and models which align with financial and organization objectives, clinical and operational standards, and fair market value. A big picture strategist, the System Director Physician and Provider Contracting will collaborate with the Chief Medical Officers to execute the physician integration plan and will serve as a lead project manager for implementing integration efforts with faculty and other physician groups.
A successful System Director Physician and Provider Contracting must have the following qualifications...
Master's degree in Public Health, Healthcare Economics, MBA, and/or related field preferred.
Minimum of 10 years of healthcare management experience required, relevant to the position.
Interested?For a complete job description and to submit your application, visit us at jobs.peacehealth.org and search job ID # 153669 today!
ESSENTIAL FUNCTIONS 1. Leads the negotiation, in collaboration with other identified leaders for contracting arrangements. Responsible for oversight, analysis, and reports necessary for final review and approval and implementation of physician/provider contract agreements. Facilitates the approval process of all contract documents from pre-contract through post-signature phases. 2. Works in conjunction with key leadership and legal counsel to develop new physician contract templates and agreements. Routinely reviews and revises existing agreements that support the clinical, programmatic, and financial goals of the organization. 3. Develops, implements, and evaluates physician compensation strategies and models which align with financial and organization objectives, clinical and operational standards, and fair market value. Ensures monthly payments are made to contract physicians and monthly time logs are received, completed and comply with established duties outlined in physician contract.
4. Performs financial modeling, conducts internal valuations and assessments, and/or obtains external valuations for each agreement to ensure compliance with policies and regulatory requirements. Identifies areas to improve provider service levels within budget parameters. Heavy emphasis on analyzing cost and utilization data to develop specific actions to manage cost. 5. In conjunction with the Project Management Office (PMO), collaborates with the Chief Medical Officers to execute the physician integration plan. Serves as a lead project manager for implementing integration efforts with faculty and other physician groups.
6. Coordinates with operations and revenue cycle staff to ensure alignment between physician contracted work, actual work done, and billing.
7. Responsible for the accuracy of supporting documentation for contracts and completing documents required by Legal and Compliance. Develops and implements a system to track contract expirations, necessary renewals, and any requirements and notices must be provided.
8. Maintains current knowledge of legal and regulatory requirements related to physician contracts. Ensure compliance with legal department requirements.
9. Administers and maintains the electronic contract management database, including maintaining the database of all existing agreements and assuring communication of all changes with financial and/or budgetary impact.
10. Develops and maintains processes that provide timely notification of critical customer contract events (i.e. renewals, termination and due dates contained within the agreements).
11. Performs other duties as assigned.
QUALIFICATIONS Required unless otherwise stated EDUCATION: Bachelor's degree required. Master's degree in Public Health, Healthcare Economics, MBA, and/or related field preferred. EXPERIENCE/TRAINING:
Minimum of 10 years of healthcare management experience required, relevant to the position. Experience with hospital, clinic, physician, and performance-based primary care and health system contracting required. Experience with contract management tools, templates, methods and processes. Experience working in a managed care and/or government health program preferred. KNOWLEDGE/SKILLS/ABILITIES:
Ability to develop and maintain excellent working relationships with hospital leadership and physicians. Prior experience in physician and provider contracting, including negotiations, compliance, compensation models, and operational and clinical standards and systems Superb communications skills in formulating and communicating accurate and precise data process, findings, and recommendations via executive level reports and presentations. Exceptional ability to manage and prioritize projects in a cross-functional matrix environment; strong project management skills; demonstrated self-motivation, creativity, problem-solving and critical thinking skills. Financial acumen, and strong analytical skills to understand the implications of contractual arrangements and parameters. Excellent interpersonal, written and verbal communication skills. Demonstrated ability to complete projects in a fast-paced environment with competing and sometimes conflicting priorities. Serve as subject matter expert on physician contracting and physician compensation methodologies. Advanced analytical and modeling skills, problem-solving, interpretation, budgeting and reporting skills Proficient in Microsoft Office suite of applications, advanced Excel skills.
Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.
PeaceHealth, based in Vancouver, Wash., is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 900 providers and 10 medical centers serving both urban and rural communities throughout the Northwest. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission.
We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Vancouver, WA community please visit our homepage: www.peacehealth.org/careers.
Location: Vancouver, WA, Shared Services Center (802) Job Category: Management/Executives; Professionals - Other Shift: Day Shift Length: 8 Hours FTE: 1.0 Work Type: Full Time Hourly compensation starts at: $47.33, more depending on experience Required Certifications/Licensure:
PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.
The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.
Posting Notes: Vancouver, WA || Management/Executives; Professionals - Other || Full Time || LEGAL SERVICES
PeaceHealth, based in Vancouver, Washington, is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 800 physicians and providers, a comprehensive laboratory system, and ten medical centers serving both urban and rural communities throughout th...e Northwest. In 1890, Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues to serve communities when invited to do so with a spirit of collaboration and stewardship. This is The Spirit of Healing—The Spirit of PeaceHealth. PeaceHealth is an EEO/AA Employer.