CONTRACT MANAGER (2277)

Job Summary:

The Contract Manager is a key member of the management team responsible for the entire contract lifecycle, including the development, negotiation, implementation, and maintenance of all healthcare-related contracts. The incumbent will be responsible for ensuring all contractual agreements comply with applicable state and federal laws and regulations, while working to meet financial goals and foster strong relationships with providers, payers, and internal stakeholders.  The incumbent will train, mentor, and supervise the contracting team to ensure all policies and procedures are followed.

Responsibilities:

• Draft, evaluate, negotiate, and execute a wide variety of contracts, including physician, hospital, ancillary, and payer agreements, ensuring all terms are reflective of organizational goals and legally sound.
• Monitor contracts to ensure all parties adhere to stipulated terms and conditions, proactively identifying and mitigating potential financial, legal, or regulatory risks (e.g., HIPAA laws, state/federal insurance regulations, NCQA standards).
• Serve as the primary point of contact for contract-related matters with external partners (e.g., providers, vendors, insurance companies) and coordinate with internal departments (e.g., finance, legal, sales, clinical teams).
• Conduct complex contract analyses, project financial impacts, and prepare detailed reports for senior leadership to support strategic decision-making and ensure budgetary objectives are met.
• Maintain and improve electronic contract management systems and related policies and procedures, ensuring accurate records and efficient workflows for contract storage, retrieval, and tracking of milestones, renewals, or terminations.
• Understands healthcare legislation, provider contracting methodologies, and payor roles.
• Lead in resolving elevated or complex provider/payer service complaints contract disputes and negotiating resolutions with internal and external partners.
• Manage a team of exempt and/or non-exempt employees to include the entire employment life cycle from recruiting/onboarding through termination/offboarding.

• Performs related duties consistent with the scope and intent of the position.
• Regular attendance.
• Travel as required.

Other Functions

• Provides back-up to other resources and functions within the team.
• Enforces Company policies and safety procedures.
• Regularly updates job knowledge by participating in educational opportunities, reading professional publications, maintaining professional networks, and participating in professional organizations.

• Maintain IPA, Health Plan compliance standards.

Competencies

• A minimum of three to five years of relevant experience in contract negotiation, managed care, or provider network management within the healthcare industry is essential.
• Knowledge of Medi-Cal, Medicare, and Commercial agreements is required.
• Minimum of two years supervisory or other related leadership experience in healthcare industry is required.
• Ability to multi-task, exercise excellent time management, and meet multiple deadlines.
• Ability to provide effective mentoring, coaching and other performance management requirements to a diverse group of employees.
• Organizational and critical thinking skills with attention to details.
• Excellent negotiation and communication skills, including both oral and written
• Strong analytical and problem-solving abilities.
• Ability to maintain confidential and meticulous records.
• Fast and accurate typing skills (50 WPM).
• Proficient in contract management software, and Microsoft Office Suite including Word, Excel, and PowerPoint.
• Familiarity with EZ-Cap, symplr and Quest Enterprise System (QES) is preferred.
• Ability to solve complex problems with minimal supervision.
• Ability to provide and receive constructive job and/or industry related feedback.
• Ability to consistently deliver excellent customer service.
• Must have the ability to quickly learn and use new software tools.
• Demonstrate commitment to the organization’s mission.
• Ability to present self in a professional manner and represent the Company image.

Education and Licensure

• High School Diploma or GED required.  
• A bachelor’s degree in business administration, Healthcare Administration, Finance, or a related field is preferred

Travel

• The incumbent may travel up to 5% of the time.

Supervisor Responsibility

• This position may supervise several employees in different positions within the Contracting and Credentialing Department.

Salary : $80,000 - $100,000