Where You’ll 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 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 forDHMSO, including reviewing reimbursement methodologies, and preparing documentation for newcontracts, 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 forimprovement.3. Build and maintain the Health Plan Matrix (HP Matrix) to summarize payor arrangements andcontract structures to support operational clarity.4. Collaborate with finance, claims, network, and market leadership to audit system inputs and supportcontracting initiatives, payer relationships, and alignment with organizational requirements.5. Develop and maintain weekly KPIs and dashboards used by executive leadership to assess networkadequacy, 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 forconferences, business meetings, corporate training, and team development. Travel to not exceed10% a year.
Job Requirements
Education Requirements:
Master27s degree in Healthcare Decision Analysis, Health Management, Public Health, orclosely 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, andspecialist groups.2. Experience drafting provider agreements and managing contract templates, including templategovernance and version control.3. Proficiency in data analytics for provider network evaluation, reimbursement modeling, and contractperformance monitoring using Contract Management System (CLM).4. Experience working with DOFR (Division of Financial Responsibility) matrices, capitationarrangements, carve-outs, and risk-based payment models using EZ Cap.5. Experience using healthcare contracting, contract management system, and data tools such asSymplr, SharePoint, Monday.com, and Quest Analytics.
Salary: $72-$78/hourWork Schedule: 40 hours/week
