Organization:

ABSMC-Ashby Campus

Position Overview:

Ensures the consistent management of physician/provider contracts including oversight of the contract management process, development of specific standards, contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager's role in the contract development process requires close collaboration with various departments, including clinical operations, project management, account management, business operations and finance.

Job Description:

EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.

Bachelor's: Degree in Finance, Business Administration, Health Administration or closely related field


TYPICAL EXPERIENCE:

8 years recent relevant experience


SKILLS AND KNOWLEDGE:

Knowledge of the structure of health care plan products including HMOs and Preferred Provider Organizations (PPOs) as well as Employee Retirement Income Security Act (ERISA) laws and regulations.

Working knowledge of health care contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting

Ability to systematically analyze complex problems, draw relevant conclusions and implement appropriate solutions.

Verbal and written skills, and ability to convey complex information in a way that others can readily follow.

Negotiating and persuasive skills, both in one-on-one and group situations.

Demonstrated organizational skills with the ability to complete multiple complex projects within established time parameters.

Problem solving and analysis to include financial, business, and contract language terms.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

Occasionally

Benefits:

Yes

Unions:

No

This position is work from home eligible.

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

0

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $0.00 to $0.00 / 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.

Qualified applicants with arrest and conviction records will be considered for employment. Applicants for specific positions are still required to disclose certain convictions during the application process, and those convictions may also be considered in determining eligibility for employment in accordance with applicable law.

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