We are so glad you are interested in joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The position is responsible for ensuring successful payer contract implementation across multiple Sutter divisions and develops strong working relationships with all Sutter Health providers, operational teams and support service departments to ensure payer contract compliance. Participating in the negotiations for payer agreements for commercial and government sponsored products as assigned for Sutter hospital, professional and ancillary providers. The position supports or leads payer negotiations, implementation of the managed care payer agreements, including performance analysis and recommendations for modifications. Additionally, assures the success of contract performance and works through any contract or claims disputes as well as support dispute litigation. **Job Description** : **EDUCATION:** _Equivalent experience will be accepted in lieu of the required degree or diploma._ + Bachelor's in Healthcare Administration, Business Administration or related healthcare field **TYPICAL EXPERIENCE:** + 8 years recent relevant payer contract implementation and operations experience, including applicable regulatory knowledge. **SKILLS AND KNOWLEDGE:** + Strong Knowledge of market imperatives, provider payment terms and trends for healthcare providers. + Ability to perform managed care contract analysis, draft language, document review, and work with Sutter operational teams and Payer representatives to support contract compliance. + Advanced knowledge of the operational implications of managed care contracts relative to both medical groups, ancillary providers and hospitals for all types of Payer products, commercial and government sponsored. + An understanding of all regulatory requirements for contracting and compliance as it relates to Knox-Keene, Department of Managed Health Care, Department of Insurance, Medi-Cal, CMS, HIPAA or ERISA. + Ability to influence and facilitate work teams to ensure the effective management of complex, multi-faceted issues, including leading operational meetings with assigned Payer representatives on behalf of Sutter. + Skills with PowerPoint and Word. + Ability to build consensus through effective communication skills both written and oral. + Strong organizational skills. + Strong knowledge of all types of provider reimbursement, including value based payments. + Must be able to enlist cooperation and commitment to carrying out initiatives related to contract compliance or operational implementation. + Must have the ability to maintain a high level of energy as well as the ability to work independently, prioritize multiple objectives and tasks in a rapidly changing environment and deliver quality outcomes. **Job Shift:** Days **Schedule:** Full Time **Days of the Week:** Monday - Friday **Weekend Requirements:** As Needed **Benefits:** Yes **Unions:** No **Position Status:** Exempt **Weekly Hours:** 40 **Employee Status:** Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $58.95 to $88.43 / hour. Bay Area Pay Range is $67.80 to $101.70 / hour. _The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._ _​_