Providence Health & Services Provider Services Manager in Santa Monica, California
Providence is calling a Provider Services Manager PJNF ( Full Time/ Day Shift ) at our Providence Saint John's Medical Foundation location in Santa Monica, CA.
In this position you will:
Be required an in-depth understanding of managed care systems, health plan enrollments, division of financial responsibility grids and health plan/medical group risk arrangements, as well as Malpractice coverage for individual providers and groups.
Be responsible for the development and ongoing operations of the department.
Oversee the Provider Enrollment department.
Perform job activities in accordance with PH&S-CA Mission and Core Values, maintaining confidentiality while creating and maintaining a work environment that affirms and fosters respect for human diversity.
Need to be capable of implementing a vision that transitions the organization into integrated organized systems of care of the future, providing a passion and an advocacy for our physicians, employees and patients.
Espouse a self-directed leadership environment and support a culture that recognizes the value of people and teamwork.
Provide support for and respond to the needs of provider's practices with varying cultures and practice styles while developing an organizational culture within affiliated medical group.
Work on projects and programs that are highly visible and may also be controversial while maintaining a spirit of service excellence and cooperation.
Implement, maintain and improve common policies and procedures for multiple delivery locations and for centralized administrative activities.
Ensure implementation of organization's goals and objectives as defined in its vision statement.
Ensure the continued growth, strength, and stability of PBS, PJNF and affiliated medical groups of PH&S-CA while ensuring optimal stewardship of resources.
Balance the sometimes conflicting goals and objectives of multiple stakeholders representing multiple interests.
Manage income, expenses and cash flow to minimize operational losses and corresponding impact on PH&S-CA hospital ministries.
Provide input to leadership team in preparation of annual operating and capital budgets, and compensation systems.
Required qualifications for this position include:
Bachelor's Degree in Healthcare Administration, Business Administration or an equivalent areA ot equivalent educ/experience.
8 years experience in managed care, health plan, or general healthcare administration environment, with five years in progressively responsible leadership positions
Sound experience in health care delivery systems, medical group, IPA operations and health plan coordination.
Strong background working with database systems and proficient in MS Office programs.
Possesses clear set of personal, organizational and societal values.
Knowledge of and commitment to the application of Catholic/Christian health care ministries, principles and values.
Demonstrated leadership abilities consistent with PH&S-CA’s Leadership Competencies that support the Strategic Direction. These include integrating Mission and Values.
Planning and Organizing, Improving Quality, Leading and Business Effectiveness.
Must possess working knowledge of health plan provider enrollment.
Excellent written and verbal communication skills. Ability to empower and motivate others and build effective teams.
Ability to work collaboratively with other operational units within Providence Health & Services.
Ability to perform at high level in an environment of rapid growth, constant change and sometimes ambiguous circumstances.
Proven experience in using data processing and physician enrollment software programs.
Strong interpersonal relations and team building skills.
Experience in managed care policies and procedures and customer service.
Supporting the values of PH&S-CA and proven ability to use team concepts to enhance shared leadership philosophies.
Preferred qualifications for this position include:
- Work history emphasis within an independent physician association, management services organization or physician hospital organization.
About the location you will serve:
Providence Health & Services is further developing its physician integration strategy. As part of this growth, Providence Saint John’s Medical Foundation came into flourishing. Saint John’s Medical Foundation is an integrated, not-for-profit network of medical clinics and affiliated services, servicing the greater Santa Monica and Los Angeles area. The Foundation is expected to continue to grow in the next several years, bringing with it facilities, staff and physician growth to support that objective.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Non-Clinical Lead/Supervisor/Manager
Location: California-Santa Monica
Req ID: 239901