Job: Supervisor, Provider Contracting

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Jobing Description

Monarch HealthCare, Where Great Careers Begin!

Monarch HealthCare has been recognized as one of "Orange County‚s Top Places to Work" for four consecutive years! Our employees set us apart!
Monarch HealthCare has been chosen for innovative National Healthcare Program! "Accountable Care Organizations" will help improve quality and lower costs! We are one of the five named "ACO‚s" throughout the country.

Monarch HealthCare is a medical group ("IPA") of over 2600 independent physicians in private practice dedicated to practicing medicine the way it was meant to be. Monarch HealthCare is owned and operated by doctors who believe in working collaboratively with all stakeholders to improve the delivery of healthcare in the communities we serve. We are an industry leader in providing coordinated care! Our commitment to our employees and our employee dedication to our physicians and patients is what differentiates us.

Monarch HealthCare is currently searching for a detail-oriented, highly polished, Supervisor, Provider Contracting. In this supervisory role, you will be responsible for reviewing all completed contracts, identifying training opportunities for staff, and managing the staffs overall workload. In addition, the Supervisor will also be responsible for monitoring the network to ensure appropriate coverage is available to Monarch enrollees. The Supervisor is tasked with the responsibility to collaborate with internal departments and external physicians, offices and vendors.

Responsibilities:

* Oversight of all new and existing provider agreements including financial impact, rate analysis, payment methodologies, operational effectiveness and scope of services relevant to specialty categories.
* Annual review of adequacy of capitation rates for all specialties to ensure appropriate rates are accurately funded.
* Responsible for the management and maintenance of current/new Standard Operating Procedures (SOP‚s)/Policies & Procedures (P & P‚s)
* Train Administrators/Specialists to ensure a complete understanding of payment methodologies can be effectively presented with new/existing providers.
* Function as a liaison between the Provider Contracting Department and other internal departments to resolve issues on a day-to-day basis
* Manage Letter Of Agreements (LOA‚s) that are requested from the Clinical Department, as well as, interpretation and intent for the Business Operations Department regarding the payment of a claim

Skills / Requirements

* Bachelor‚s degree (BA) from four year college or university along with 6 to 8 years related experience and/or training preferably in health care
* 4 to 5 years managerial/supervisory experience
* 4 years contract negotiation experience in an IPA setting preferred
* Stellar interpersonal skills along with exceptional written and oral skills
* Proficient in MS Office products such as Word, Excel, Outlook and PowerPoint
* Demonstrated comprehensive knowledge of a managed care system
Monarch HealthCare has assembled a competitive compensation package that recognizes the many contributions by our dedicated employees and strives to keep our employees as satisfied, long term business partners! Our competitive salary, robust employee health plans, generous retirement package and "work-life balance" vacation schedules are the cornerstone of our employee friendly health and welfare plans!
To apply for this position, please select the "apply on line" option or send a resume to resume@mhealth.com


For a detailed job description on this great career opportunity, all of our open positions or more information on our complete benefit package; please visit our career site at www.monarchhealthcare.com


"Helping Physician Partners Advance Medical Excellence in the Communities We Serve"