Senior Provider Contract Manager

Senior Provider Contract Manager page is loaded## Senior Provider Contract Manager locations:
Springfield, ORtime type:
Full time posted on:
Posted Yesterday job requisition :
2026-1
* Join Pacific Source and help our members access quality, affordable care!
*** Pacific Source is an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age.
** Pacific Source values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.

Responsible for helping develop and maintain successful execution, coordination, and evolution of all lines of business, value-based, and alternative payment methodology contracts (VBP/APM). Work with internal Pacific Source staff as well as external partnership representatives, such as physicians, executive management, and clinical/office staff, to create a plan of collaboration, implementation, and success for VBP/APM initiatives. Plan initiatives will focus on defined short- and long-term targets pertaining to cost containment, quality improvement, patient satisfaction, and company strategic plan initiatives.

Encourage innovation and help build collaborative provider relationships to achieve Pacific Source’s strategic goals.
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* Essential Responsibilities:

*** Serve as lead on high-tier provider contracts with key partners, which include Joint Operating Committee accountabilities, multiple lines of business, upside and downside risk models, shared savings, quality metrics and program payment reimbursement.
* Serve as primary contact with provider partners for all lines of business contracting including, but not limited to, capitation, risk models, shared savings bonus models, ACO and CCO models, full and partial capitation arrangements, program payments (including Patient Centered Primary Care Home), DRG, fee-for-service, RBRVS, per diem, per case, CMS methodologies, percent of charges and episodic payments.
* Serve as primary contact with Medicaid provider entities which include non-emergent medical transportation, community-based organizations, dental care organizations, interpreter vendors, and other unique provider types.
* Manage provider contractual relationships for the dual special needs population (DSNP), and the PACE program
* Assist in supporting project plans which may include provider accountability deliverables, innovative reimbursement models, milestones, and quality measurements and revise as appropriate to meet changing needs and requirements.
* Assist in development and implementation planning of contractual agreements within Pacific Source, including all organizational support such as sales, marketing, clinical, actuarial, analytical, underwriting, and technical assistance.
* Ensure consistency with progressive strategies of Pacific Source that pertain to provider relationships and their ability to affect change and reform in the health care system with feedback from EMG, management staff, and others on the cross-functional team.
* Provide support to management related to Pacific Source’s evolution of current and potential new opportunities for contracting strategies.
* Keep informed of the evolution of current strategies in discussions related to reform, payment methodologies, risk arrangements, quality metrics and participate in related ongoing analysis.
* Proactively develop positive working relationships with other Pacific Source departments and staff to resolve provider issues.
* Develop thorough knowledge of system capabilities related to analytics, quality metrics, Facets setup, Facets Business Support, other supporting systems.
* Exercise independent judgment and communicate effectively between internal and external team members.
** Supporting Responsibilities:
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