Providence Health & Services Provider Services Manager in Santa Monica, California


Providence is calling a Full Time, Day shift Provider Services Manager at our Providence Saint John's Medical Foundation location in Santa Monica, CA.

In this position you will:

  • TheManager, Enrollment requires in-depth understanding of managed care systems, healthplan enrollments, division of financial responsibility grids and healthplan/medical group risk arrangements, as well as Malpractice coverage forindividual providers and groups.

  • Understand the Providence benefits and facilitate physician onboarding and offboarding.

  • Performsjob activities in accordance with PH&S-CA Mission and Core Values,maintaining confidentiality while creating and maintaining a work environmentthat affirms and fosters respect for human diversity..

  • Provenexperience in using data processing and physician enrollment software programs.

  • Strong interpersonal relations and teambuilding skills are a requirement for internal and external purposes.

  • Experience in managed care policies andprocedures and customer service is essential.

  • Supporting the values of PH&S-CAand proven ability to use team concepts to enhance shared leadershipphilosophies are essential for the success of this position.

  • The Manager is responsible for thedevelopment and ongoing operations of the department.

  • The position oversees the Provider Enrollmentdepartment.


Required qualifications for this position include:

  • A bachelor’s degree in health careadministration, business administration or an equivalent area is required.

  • Equivalentwork experience as a substitute to professional degree is acceptable.

  • A minimumof 8 years experience in managed care, health plan, or general healthcareadministration environment, with five years in progressively responsibleleadership positions is required.

Preferred qualifications for this position include:

  • Work history emphasis within an independent physician association, management services organization or physician hospital organization is preferred

About the location you will serve:

Providence Health & Services is further developing its

physician integration strategy. As part of this growth, Providence Saint John’s

Medical Foundation came into flourishing. Saint John’s Medical Foundation is an

integrated, not-for-profit network of medical clinics and affiliated services,

servicing the greater Santa Monica and Los Angeles area. The Foundation is

expected to continue to grow in the next several years, bringing with it

facilities, staff and physician growth to support that objective.

We offer a full comprehensive range of benefits - see our website for details

Our Mission

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.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. 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.

Schedule: Full-time

Shift: Day

Job Category: Supervisory / Management

Location: California-Santa Monica

Req ID: 195314