Senior Network Management Consultant - 25-94

We're delighted you're considering joining us!

At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team!

Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the "Best Places to Work in the Bay Area" and have been recognized as one of the "Healthiest Places to Work in the Bay Area." When you join our team, you're making a great choice for your professional career and your personal satisfaction.

DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

This position supports PriMed Senior Management and the Hill Physicians' leadership in the recruitment, compensation development and management of the Hill Physicians' provider network.

ESSENTIAL RESPONSIBILITIES:

• Partners with cross-departmental company resources to research and analyze information that supports or helps form appropriate provider reimbursement strategies and actions.
• Participates in a variety of cross-functional teams to support organization initiatives related to development and maintenance of the physician network.
• Extracts data, provides analysis and interpretation; summarizes findings. Reports and presents results using available or developed tools. Develops new methods for presentation of data. Clearly and thoroughly documents all steps.
• Manages cross-regional large scale projects, leading cross-functional teams and ensuring that business objectives are met. Ensures consistency throughout regions as appropriate.
• Manages simple to complex projects regarding compensation, clinical or utilization management, etc.
• Performs analysis and quality control of compensation data prior to the distribution of performance payments for PCPs and specialists.

NON-ESSENTIAL RESPONSIBILITIES:

• Consults with relevant departments on ongoing development of all provider profiles and compensation.
• Participates in cross-functional teams in the implementation and communication of provider rate changes.
• Develops metrics and dashboard reports related to the provider network that help the regional offices and medical leadership to form membership recommendations as appropriate.
• Acts as liaison between physician leadership and PriMed / Hill management and staff.
• Presents, verbally and in writing, analysis and recommendations to internal and external audiences.
• Organizes internal and external meetings for department members.
• Performs other duties as required.

SKILLS AND EXPERIENCE REQUIRED:

• BA/BS degree desired or equivalent work experience in a managed care, clinical practice and/or healthcare environment.
• Three to five years of related experience.
• Substantial experience with data and trend analysis, statistical reporting, application design and development.
• Ability to understand and analyze complex data sets.
• Demonstrated project management skills. Ability to prioritize multiple projects and tasks.
• Must be able to contribute to cross-functional work groups both as leader and participant.
• Strong written and verbal communication skills.
• Familiarity with routine applications software and Internet resources (including Word, Excel, and PowerPoint).
• Ability to travel to and participate in business meetings outside of normal business hours.

Additional Information:

Salary: $100,000 - $125,000 Annual

Hill Physicians is an Equal Opportunity Employer