Contracts Network Manager Job Opening in Southern California

Job Opening for a Contracts Network Manager (need permanent candidates) – Southern CA

  • Hospital; 200+beds, affiliated with a University system.
  • 250 physicians in network.
  • Director is looking for outstanding negotiation skills.
  • CA experience preferred.
  • Position is open due to organizational growth – expansion.

Position Summary:

Reporting to the Director of Contract Management, develops and recommends specific contract strategy for new and renewing payer agreements on behalf of the physician network, initiate contract performance review, analysis and implementation of managed care contract negotiations, organize and lead interdepartmental teams operationalize managed care contracts and resolve identified managed care operational issues; participates in the development of contract management information systems. Supports the development and evaluation of new business relationships with medical groups and payers in order to increase service line volumes and market share.

Manager position negotiates managed care agreements to support the hospital System of Care and develops specific strategies for new and renewing contractual relationships. The position will conduct contract performance review and analysis; organize interdepartmental teams to implement managed care agreements; oversee resolution of associated operational issues and participate in the development of contract management infrastructure.

Minimum Required:

  • 5-7 years experience in negotiating HMO/PPO and other managed care contracts.
  • A minimum of 2 years physician and hospital contracting experience preferred.

Minimum Required:

  • BA/BS in related field.

Education Preferred:

  • MBA or equivalent/ HFMA managed care certification

Minimum Required:

  • Contract negotiation
  • Contract legal review
  • Analytical/financial analysis
  • Proficient in Excel, Word, etc.

Analytical/financial analysis –  they want someone with this background.

Knowledge and understanding of Per Diem-HMO, Capitated-HMO, Point of Service, EPO and PPO contracts, including a practical working ability with legal documents and case management concepts.

Competitive Salary Range!

How to apply for the Contracts Network Manager Job: contact tinaroberts@contactjc.com or tinaroberts@toprecruiterweb.onmicrosoft.com

Tina Roberts
Executive & Management Recruitment Services
(415) 770-1200 – call/text

Find and apply for Healthcare Executive and Management Jobs here at this site.

Posted in Apply for Job
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