Job Description

Job Title - Contracts Manager

Location - Orange, California, 92868

Duration- 6+ months

Job Description :

Minimum Qualifications:

- Bachelor's degree PLUS 4 years of experience with provider contracting, negotiation, hospital and delegated health network/medical group provider agreements or other complex provider contracts required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

- Experience with Medi-Cal and Medicare lines of business within a health plan or large health care delivery system required.

- Experience with Medi-Cal, Medicare fee-for-service reimbursement rates, and capitation methodologies required.

Preferred Qualifications:

- 4 years of contracting and network management experience in California with a health plan or large provider delivery system.

Knowledge & Abilities:

- Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.

- Work independently and exercise sound judgment.

- Communicate clearly and concisely, both orally and in writing.

- Work a flexible schedule; available to participate in evening and weekend events.

- Organize, be analytical, problem-solve and possess project management skills.

- Work in a fast-paced environment and in an efficient manner.

- Manage multiple projects and identify opportunities for internal and external collaboration.

- Motivate and lead multi-program teams and external committees/coalitions.

- Utilize computers and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

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