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Senior Manager Contracts

Company: Kaiser Permanente
Location: Renton
Posted on: September 24, 2022

Job Description:

Develops contracting strategies and negotiates contracts for the delivery of services provided by non Kaiser Permanente (KP) providers to KP Health Plan members. Includes accountability to develop and maintain complex competitive provider agreements. Works in collaboration with Region and Service Area leadership to develop and implement market and service line strategies for care provided by local community providers. Manages the contracting process in an environment of varying reliance on non KP providers. Collaborates with delivery system, senior and executive leaders to plan and execute on strategies for improving cost, quality and/or delivery of care. Build and manage key external and internal relationships, in collaboration with health plan and group practice leadership. Develops and implements work processes to support projects and initiatives designed to improve service to providers, simplify systems, and improve patient quality of care and provider satisfaction. Ensures compliance with all state and federal regulatory requirements and KP policies. This position operates at an advanced level with higher dollar volume agreements, higher visibility within the Region and more complex contract structures than KP Contracts Managers.Essential Responsibilities:

  • Manages a portfolio of highly complex contacts and community provider relationships for outside services which may have a significant financial impact on the organization. Assumes designated responsibility for monitoring compliance w/contractual terms and conditions. Is involved in dispute resolution. Analyzes models and negotiates financial arrangements and business/operational terms and conditions with outside providers that meet aggressive cost management objectives.
  • Develops, maintains and evaluates incentive programs and alternative payment structures. Monitors health care market place and internal utilization trends to assess new opportunities for cost savings, alternate delivery models and financial risk sharing.
  • Develops and implements competitive market and service line negotiation strategies, in collaboration w/Regional and Service Area leadership, for delivery of health care services to health plan members outside the KP system. Evaluates contact performance and makes recommendations to Region and Service Area leadership with respect to new cost management opportunities.
  • Represents the organization as a primary business spokesperson with essential community health care providers. Participates in Region and Service Area sponsored initiatives relating to outside providers which may including make vs. buy analyses, options and opportunity analysis for new contacting strategies. Represents the contracting department on internal task forces and committees.

Keywords: Kaiser Permanente, Renton , Senior Manager Contracts, Executive , Renton, Washington

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