Contracting Specialist II
Samaritan Health Services
 Corvallis, OR

JOB SUMMARY/PURPOSE Leads, develops and maintains strong, positive relationships with assigned standard and complex provider accounts, including assurance of provider satisfaction with Samaritan Health Plans. Proactively manages assigned provider accounts to achieve Samaritan Health Plans strategies and goals for product and provider contract development. DEPARTMENT DESCRIPTION Samaritan Health Plans is an Insurance Company that creates and delivers products and services that help build healthier communities. As part of an Integrated Delivery System, Samaritan Health Plans believes in giving members a greater role in their health and employers more options for their employees. EXPERIENCE/EDUCATION/QUALIFICATIONS Bachelor#s degree in a healthcare or business related field, or equivalent experience required. Four (4) years experience managing provider relationships and provider contract negotiations required. KNOWLEDGE/SKILLS/ABILITIES Excellent written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Excellent public relations and interpersonal skills. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities. Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions. Self-starter and the ability to lead with minimal direction. Proven ability to lead and mentor small teams. Strong organizational, planning and administrative skills. Ability to draft contract language to meet legal criteria and familiarity with provisions in health insurance. Ability to develop and execute strategy. A thorough understanding of Samaritan Health Plans products. Understanding of complex financial arrangements and quality programs across health care products. Knowledge of different forms of reimbursement including capitation and their ramifications on providers as well as insurers. Knowledge of regulatory issues and network development. Strong expertise in the provider environment. Knowledge of provider profiling software, systems, and provider data utilization. Strong data management skills. PHYSICAL DEMANDS Rarely (1 - 10% of the time) Occasionally (11 - 33% of the time) Frequently (34 - 66% of the time) Continually (67 # 100% of the time) CLIMB - STAIRS LIFT (Floor to Waist: 0#-36#) 0 - 20 Lbs LIFT (Knee to chest: 24#-54#) 0 # 20 Lbs LIFT (Waist to Eye: up to 54#) 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds BEND FORWARD at waist KNEEL (on knees) STAND WALK # LEVEL SURFACE ROTATE TRUNK Standing REACH - Upward PUSH (0 - 20 pounds force) PULL (0 - 20 pounds force) SIT CARRY 2-handed, 0 - 20 pounds ROTATE TRUNK Sitting REACH - Forward MANUAL DEXTERITY Hands/wrists FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist

  • JOB SUMMARY/PURPOSE
  • Leads, develops and maintains strong, positive relationships with assigned standard and complex provider accounts, including assurance of provider satisfaction with Samaritan Health Plans. Proactively manages assigned provider accounts to achieve Samaritan Health Plans strategies and goals for product and provider contract development.
  • DEPARTMENT DESCRIPTION
  • Samaritan Health Plans is an Insurance Company that creates and delivers products and services that help build healthier communities. As part of an Integrated Delivery System, Samaritan Health Plans believes in giving members a greater role in their health and employers more options for their employees.
  • EXPERIENCE/EDUCATION/QUALIFICATIONS
  • Bachelor's degree in a healthcare or business related field, or equivalent experience required.
  • Four (4) years experience managing provider relationships and provider contract negotiations required.
  • KNOWLEDGE/SKILLS/ABILITIES
  • Excellent written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures. Excellent public relations and interpersonal skills. Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.
  • Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.
  • Self-starter and the ability to lead with minimal direction. Proven ability to lead and mentor small teams. Strong organizational, planning and administrative skills.
  • Ability to draft contract language to meet legal criteria and familiarity with provisions in health insurance. Ability to develop and execute strategy.
  • A thorough understanding of Samaritan Health Plans products. Understanding of complex financial arrangements and quality programs across health care products. Knowledge of different forms of reimbursement including capitation and their ramifications on providers as well as insurers. Knowledge of regulatory issues and network development.
  • Strong expertise in the provider environment.
  • Knowledge of provider profiling software, systems, and provider data utilization. Strong data management skills.
  • PHYSICAL DEMANDS
  • Rarely

(1 - 10% of the time)

Occasionally

(11 - 33% of the time)

Frequently

(34 - 66% of the time)

Continually

(67 – 100% of the time)

CLIMB - STAIRS

LIFT (Floor to Waist: 0“-36“) 0 - 20 Lbs

LIFT (Knee to chest: 24“-54“) 0 – 20 Lbs

LIFT (Waist to Eye: up to 54“) 0 - 20 Lbs

CARRY 1-handed, 0 - 20 pounds

BEND FORWARD at waist

KNEEL (on knees)

STAND

WALK – LEVEL SURFACE

ROTATE TRUNK Standing

REACH - Upward

PUSH (0 - 20 pounds force)

PULL (0 - 20 pounds force)

SIT

CARRY 2-handed, 0 - 20 pounds

ROTATE TRUNK Sitting

REACH - Forward

MANUAL DEXTERITY Hands/wrists

FINGER DEXTERITY

PINCH Fingers

GRASP Hand/Fist