Company: Kaiser Permanente
Posted on: April 8, 2021
Important Update: In response to the COVID-19 pandemic, Kaiser
Permanente is moving to a virtual recruitment process including
telephone and video interviews to help ensure the health and safety
of our employees, candidates, and communities. Also, some hiring
activities may be delayed or suspended in certain geographic areas
and job categories. For more information on Kaiser Permanente's
response to COVID-19, visit our Resource Center . Description:
Identifies outside service needs and opportunities to complement
overall supplier relationships and care delivery. Collaborates with
service chiefs and others to develop contracting strategies.
Develops and maintains relationships with external care providers
and suppliers. Works with individual doctors' offices. Serves as a
resource specialist for contracting and negotiation.
- Identifies and/or anticipates outside service needs to
complement overall care delivery.--Collaborates with appropriate
leadership teams in development of contracting strategies and other
objectives.--Negotiates medical care/service and other contracts
for health plan membership and hospitals.--Monitors compliance with
contract terms and conditions.--Negotiates resolution of
- Develops and maintains relationships with internal/external
care providers. Maintains provider relations.--Serves as resource
specialist in contracting and negotiation.
- Monitors external healthcare delivery marketplace and internal
utilization trends.--Assesses new opportunities for cost savings,
alternative delivery models and financial risk sharing.
- Develops reimbursement methodologies and understands Medicare
and Medicaid reimbursement policies and regulations. Develops
- Performs analysis of contracts for impact assessment and
recommends changes as appropriate.
- Ensures compliance with related regulatory requirements.
Provides counsel to regional leadership and work teams on
contracting issues.--Provides direction in communicating contract
reimbursement terms to the claims department. Provides direction
regarding contract implementation.
- Minimum four (4) years contracting experience to include
medical expense and utilization analysis or JD with one (1) year of
- Bachelor's degree in business, finance, healthcare
administration, or related field OR four (4) years directly related
License, Certification, Registration
- Valid state of Hawaii Driver's License.
- Demonstrated knowledge of healthcare/ commercial/business
contracting, financial and policy analysis, healthcare delivery and
payment systems, and competitive market strategies
- Demonstrated knowledge of Center for Medicaid -Medicaid
Services payment methodologies and regulations.
- Demonstrated knowledge of NCQA and TJC accreditation and state
and federal regulatory requirements specific to healthcare
- Demonstrated knowledge of and skill in adaptability, change
management, conflict resolution, customer service, decision making,
influence, negotiation, interpersonal relations, oral
communication, prioritization, problem solving, quality management,
systems thinking, teamwork, time management, leadership,
facilitation, and project management.
- Demonstrated knowledge of and skill in word processing,
multimedia presentations, spreadsheet, and database PC
- Contract negotiations experience.
- Master's degree in business, finance, healthcare
administration, or related field or JD.
- Demonstrated knowledge of HMO healthcare delivery
- Demonstrated knowledge of Kaiser Permanente systems and
processes. Primary Location: Hawaii,Honolulu,Regional Admin Low
Rise Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed,
Thu, Fri Working Hours Start: 08:00 AM Working Hours End: 05:00 PM
Job Schedule: Full-time Job Type: Standard Employee Status: Regular
Employee Group/Union Affiliation: NUE-HI-01-NUE-Non Union Employee
Job Level: Individual Contributor Job Category: Sales and Marketing
Department: Regional Administrative Office - Rgnl-Finance Leader -
1208 Travel: Yes, 15 % of the Time Kaiser Permanente is an equal
opportunity employer committed to a diverse and inclusive
workforce. Applicants will receive consideration for employment
without regard to race, color, religion, sex (including pregnancy),
age, sexual orientation, national origin, marital status, parental
status, ancestry, disability, gender identity, veteran status,
genetic information, other distinguishing characteristics of
diversity and inclusion, or any other protected status.
External hires must pass a background check/drug screen. Qualified
applicants with arrest and/or conviction records will be considered
for employment in a manner consistent with federal and state laws,
as well as applicable local ordinances, including but not limited
to the San Francisco and Los Angeles Fair Chance Ordinances.
Connect with a member of the Kaiser Permanente team at an upcoming
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Keywords: Kaiser Permanente, Honolulu , Contract Manager, Executive , Honolulu, Hawaii
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