Providence Health & Services Provider Network Manager in Torrance, California
Providence is calling a Provider Network Manager PHN (Full time/Day shift) to Providence California Regional Services in Torrance, CA.
This position will require being in the office 1-2 days/week.
Please upload a current resume reflecting all relevant experience.
Applicants that meet qualifications will receive a text with additional questions from our MODERN HIRE screening and interview system.
We are seeking a Provider Network Manager PHN who will manage PHN's provider network and network development activities across participating facilities and provider groups. Works collaboratively with PHN executives and serve as a liaison to executives and senior leaders within participating groups and facilities. Strengthen and manage ongoing relationships with the PHN network, consisting of hospitals, participating providers, and other contracted, employed or enrolled entities. Oversee issue management and resolution for the PHN provider network. Support new physician recruitment and integration into PHN and the clinically integrated network.
In this position you will:
Serve as the key leader dedicated to the maintenance of PHN’s provider network and associated partner provider rosters
Work closely with roster vendor and product partners to oversee the management of all roster data, identifying areas for continued process improvement, and timely submission and processing of rosters, and supporting PHN’s multiple product lines including commercial and Medicare Advantage products
Participate in weekly meetings with product partners, addressing provider relations and data integrity issues
Perform monthly geo-access and network adequacy analysis on PHN’s full provider network
Recommend provider engagement strategies, based upon results of geo-access and network adequacy analysis
Responsible for executing continuous market analysis and recommending growth strategies within specialty groupings, and across regions within PHN’s service areas
Responsible for oversight and compliance with related Policies and Procedures specific to PHN’s Provider Network and roster maintenance
Manage PHN’s roster email, including any necessary follow-up with partner provider groups and independently contracted providers
Work closely with PHN’s Contracting team to support the recruitment of PHN independently contracted providers, and their participation in the PHN network
Work closely with PHN’s Provider Relations team to support the ongoing maintenance of the independently contracted providers and the integrity of their provider data
Work closely with PHN’s Compliance Officer in support of DMHC filings related to PHN’s provider network
Bachelor's Degree in healthcare related field
5 years related experience
Strong Interpersonal Skills
Excellent communication skills, both verbal and written
Strong problem solving skills. Creative and flexible approach to program development and implementation
Strong organizational skills, and attention to detail
Comfortable with data. Ability to analyze data sets, draw conclusions, understand significance
Highly functional in Excel, with the ability to write formulas and work in pivot tables
Ability to present to small audiences, and work with senior leadership
Master's Degree in Public Health, Healthcare Administration, Business Administration or other relevant healthcare program or equivalent educ/experience
3 years leadership experience
3 years customer/client management experience
About the ministry you will serve:
Anchored by five award-winning comprehensive medical centers, Providence provides a full spectrum of care that includes a range of specialties, signature services, outpatient and home care and the well-regarded Providence Medical Institute, a group of physicians and primary and urgent care clinics throughout the greater San Fernando Valley and South Bay. Providence is focused on providing the communities it serves with preventive care, education and leading-edge diagnostics and treatment. The organization includes numerous outreach programs. hospice and home care and even our own Providence High School, a Blue Ribbon college-preparatory campus.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Non-Clinical Lead/Supervisor/Manager
Req ID: 299266