Provider Network Specialist jobs in Reno, NV

The primary focus of this position is to assist the Director of Provider Recruitment and Relations and/or Renown Medical Group Human Resources Business Partners with provider relations issues involving provider compensation and contracts. The incumbent will manage all steps of the contracting process, including identifying, developing, managing contracting support systems that improve how provider contracts are proactively managed.

The incumbent will assist the Director and/or HRBPs in the development and implementation of new systems for tracking, managing, renewing, and ensuring compliance with state and federal laws in relations to provider contracts. The incumbent manages the ongoing auditing and reporting systems to ensure contracts are renewed according to terms of the Agreements.

The incumbent will partner with the Renown Medical Group Finance team, Provider Compensation Analysts, and leaders on the provider compensation models. The incumbent will use their knowledge of provider salary structures, use of appropriate fair market value benchmarks, wRVU tracking, to communicate to providers, and ensure compliance with Renown Health policies related to provider compensation and contracts.

Under the direction of the Director, this position will advise and assist leaders and providers on issues and concerns through communicating, interpreting, and recommending appropriate use of human resources and provider policies and procedures, services, and programs offered by Renown Health.

The Provider Compensation and Contracts Specialist will assist with the coordination of contracting processes with various internal and external customers including the Vice President & CEO of Medical Group Services, Chief Medical Officer, Clinical Chair of Department, the Division Chief, Section Chief, Medical Directors, Administrators, Administrative Directors, Medical Staff Services, MSO Billing, Information Resources and Communications, Human Resources, Legal, Renown Medical Group Operations, Tax & Treasury, Finance, Real Estate, etc. This position will need to be very flexible to meet deadlines and accommodate concurrent contracting priorities. Provider relations issues and concerns will be addressed via the appropriate chain of command, ensuring timely resolution. This position collaborates with hiring managers within the organization to support Renown Health Medical Group’s mission and business goals.

The incumbent will provide tracking, trending and reporting of provider contracting efforts, ensure continuous process improvement, and will be responsible for compliance with Stark Law and its impact on fair market value of provider compensation, and commercial reasonableness.

As a Provider Compensation and Contracts Specialist, the incumbent will communicate the compensation terms outlined in the Provider contract, ensuring understanding of productivity and value metrics by the provider. The incumbent will assist the Renown Medical Group Finance team and Renown Medical Group Dyad Leaders with the successful transition of the provider from new hire, ramp-up of patient-base, to fully productive/value-based compensation model, as applicable. As part of the collaboration process with the HRBPs, Renown Medical Group Finance team, and Renown Medical Group Dyad Leadership, the incumbent will act as a liaison for provider compensation requests and become an expert in the Provider Request Form process to ensure that new position requests and compensation requests for incumbent providers include all necessary supporting business and financial justification. The incumbent will attend the weekly provider compensation meetings with Renown Medical Group’s Executive Leadership team and will be responsible for the documentation of approvals and implementation process of compensation changes.

The incumbent will be expected to track and manage the provider short term disability payments, as well as collaborate with operational leaders to ensure appropriate timecard coding for provider leaves of absence. As part of this process, the incumbent will collaborate with The Standard, Renown Benefits Team, and operational leaders. The incumbent will also be expected to review provider time bank adjustment forms to ensure requests are approved based upon compliance with applicable compensation models.

The incumbent will collaborate closely with the Provider Recruiters to ensure employment agreements are prepared in alignment with compensation model guidelines and in compliance with applicable compensation benchmarking data and policies. Additionally, the incumbent will collaborate with the Provider Recruitment Coordinator to ensure accurate tracking and timely payment of provider start-to-work/retention bonuses.

The incumbent will support the Director of Provider Recruitment and Relations, as well as the HRPBs to advise and assist management and employees to respond to provider relations issues and concerns by interpreting applicable HR and provider policies and procedures and making responsible recommendations in these areas as necessary and appropriate; initiate recommendations for appropriate measures to address underlying systemic problems or issues represented by the expressed concern, including but not limited to, suggestions on policy clarification or development, appropriate training or other development interventions. Serve in a specialist, liaison capacity ensures thorough investigations and follow up with provider and leadership issues to be consistent and equitable in the application of HR and provider policies and procedures. Provide support on implementing major organization-wide projects, including but not limited to, employee engagement surveys, employee enrichment programs, employee benefits programs, multi-cultural awareness and sensitivity programs and employee advocacy/conflict resolution procedures. Identify problem provider relations areas that impede organizational progress; recommend appropriate interventions and/or other corrective actions as needed. Apprise Director of organizational issues, problems, or trends; prepare reports, analyses and other written communication setting forth progress, adverse trends and appropriate recommendations or conclusions as necessary or requested. This position will also assist the Director with projects and events as needed. The role will collect, research best practice and new policy or program initiatives in designed to enhance delivery and quality of service

The incumbent performs all duties in a manner that promotes the organization’s mission, values, and philosophies. The Incumbent must maintain and exhibit, always, high standards of courtesy, performance, human relation skills and personal and professional appearance. This position requires a flexible schedule and ability to meet deadlines and accommodate concurrent provider relations, recruitment, or contracting priorities.

This position does not provide patient care.

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Name

Description

Education:

Must have working-level knowledge of the English language, including reading, writing, and speaking English. A bachelor’s degree in human resources or related field, or equivalent provider or employee relations experience required.

Experience:

Minimum of at least two (2) years of demonstrated provider relations, contracts, or recruitment experience, or medical group/health care operations experience in a complex service culture or integrated health care organization. Preference given to those candidates with provider interaction experience in healthcare.

License(s):

None

Certification(s):

Preferred – one of the following Professional Human Resources (PHR), or Society for Human Resources Management (SHRM- CP), or Certified Compensation Professional (CCP), or Association for Advancing Physician and Provider Recruitment (AAPPR) certification.

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.