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Contracts Manager Jobs

Company

California Health & Wellness

Address , , Ca
Employment type FULL_TIME
Salary $80,600 - $145,100 a year
Expires 2023-06-08
Posted at 1 year ago
Job Description

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Under direction, the Contracts Manager is responsible for negotiating agreements with integrated healthcare delivery systems, hospitals, ancillary providers, physicians and physician groups that result in a network of high quality, cost effective and marketable providers and support business goals and objectives. This position is accountable for ensuring effective implementation of new and renewing contracts through communication and coordination with other functional areas. This position would create, negotiate and incorporate contract amendments, renegotiate the contract to accommodate scope changes or changes in organization requirements. This position may lead related initiatives and projects.

  • Gathers relevant data regarding financial and operational performance as well as other competitive information.
  • Maintains a thorough working knowledge of plan products, benefit packages, policies and procedures, contract requirements, and interprets this information to contracted providers.
  • Adheres to Health Net contracting policies, procedures and financial guidelines.
  • Coordinates contract activities, including contract development, negotiation and maintenance.
  • Performs necessary analysis of cost and utilization data in addition to the analysis of the financial and operational impact of contractual proposals.
  • Creates, negotiates and incorporates contract amendments, renegotiating the contract to accommodate scope changes or changes in organization requirements.
  • Ensures corporate goals and objectives for approved initiatives and projects are completed within established timeframes and financial parameters.
  • Monitors provider contracts to ensure terms and conditions are met.
  • Ensures effective implementation of new and renewing contracts through communication and coordination with other functional areas.
  • Manages and controls the contractual relationship with providers.

Education/Experience: Bachelor’s degree in Health Care Administration or related field or equivalent work experience required; Master’s degree preferred. Experience in health care setting at a payer, hospital, provider relations, provider contracting, health plan operations, or health care/medical office environment preferred
Government Security/Clearance/Citizenship Requirements: May require US citizenship and current security clearance

Pay range: $80,600 to $145,100 per year

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. The employee may be eligible for bonuses and other forms of compensation.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.