Take on a key role within a world-class health organization. Help ensure the consistent delivery of exceptional patient care. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.
You will be responsible for producing and negotiating Ambulatory Surgery Center (ASC) and professional service contracts in accordance with established rate and language parameters. This will include modeling, analysis and compilation of volumes and financial data, and negotiation of one-time agreements as needed. You will manage a portfolio of contracts as you lead contract implementation within key operational areas. Your success involves maintaining positive relationships with joint venture partners, health plans, medical groups and other third-party payors to assure their ongoing satisfaction. You will also collaborate with internal and external parties to resolve contract-related operational issues in a timely manner. You will:
Develop and negotiate service contracts
Review, analyze and compile ASC, hospital and professional data for clinical procedures/treatments
Evaluate profitability of clinical services for developing contracts
Review, analyze and present data for specific clinical services
Negotiate contract rates/language with third party payers
Determine and recommend clinical service packages
Develop payor performance report/dashboard
Provide market summary to executive leadership
Provide timely responses to contracting opportunities and queries
We’re seeking a self-motivated, detail-oriented individual with:
Knowledge of the Southern California managed care marketplace
Advanced managed care contract negotiation skills, specifically within a hospital, medical group, health system, or health plan environment
Knowledge of ASC, hospital and professional reimbursement mechanisms
Ability to work with other hospital and clinical departments to implement negotiated contracts
Strong analytical, team work, customer service and prioritization skills
Proficiency with Word and Excel
Experience with database applications a plus
Understanding of organizational dynamics
Case rate contracting experience highly desirable
UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles. We are also home to the David Geffen School of Medicine, an internationally-respected leader in medical education and research. Through the efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care. If you’re looking to experience greater challenge and fulfillment in your career, UCan at UCLA Health.
UCLA is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.