Manager, Contracting & Managed Care

Manager, Contracting & Managed Care CHOC Children's

• 3.9 Orange, CA Job Details Full-time $104,832
• $172,973 a year 1 day ago Qualifications Term negotiation Contract management Contract review Contract management in healthcare Financial analysis Full Job Description Work Location Orange, California Work Shift Day
• 08hrs (United States of America) Why CHOC?

At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care. We are responsible for the overall health of our community's pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. CHOC's compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC can take you. Environmental Sustainability Statement Driven by the connection between children's health and a healthy environment, we commit to creating a healthcare model that incorporates environmental sustainability aligned with our mission to protect children's health and patient safety. Job Summary The Manager of Network Contracts negotiates managed care agreements to support the Pediatric System of Care and develops specific strategies for new and renewing contractual relationships. Conducts contract performance review and analysis; organizes interdepartmental teams to implement managed care agreements. Oversees resolution of associated operational issues and participate in the development of contract management infrastructure. Pay Range Minimum $104,832 Midpoint $138,902 Maximum $172,973 Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.

Experience Required:

Minimum five (5) years of experience with contracts and managed care.

Preferred:

Over seven (7) years' experience with contracts and managed care. Previous management experience.

Education Required:

BA/BS degree in related field or in place of a degree, seven (7) years relevant experience.

Preferred:

MBA or equivalent/ HFMA managed care certification.

Training Required:

Training in managed care.

Specialized Skills Required:

Knowledge of contract negotiation, contract legal review and analytical/financial analysis. Proficient in use of Microsoft Office Suite e.g., Word, Excel, PowerPoint, Outlook, etc. Exceptional verbal and written communication skills; interpersonal relationship and collaboration skills. Excellent analytical and organization skills; excellent critical thinking, judgment, and problem-solving skills. Ability to relate and communicate positively, effectively, and professionally with others; provide leadership; be assertive and consistent in enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, and collaborate; accept direction.

Licensure Required:

None Required Work Environments

• Functional Demand:

  Sedentary
• Very light energy level Lift 10 lbs.

box overhead. Lift and carry 15 lbs. Push/pull 20 lbs. cart.

Physical Activity Requirements:

Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation Physical Activity Lifting Lifting (Floor to waist level)

• Constant 67 or more%, Lifting (Floor to waist level)
• Frequent 36-66%, Lifting (Floor to waist level)
• Occasional 0-35%, Lifting (Waist level and above)
• Constant 67 or more%, Lifting (Waist level and above)
• Frequent 36-66%, Lifting (Waist level and above)
• Occasional 0-35%

Sensory Requirements:

Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision Environment Requirements:

Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations Non-Discrimination Statement:

CHOC does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws. We encourage individuals from all backgrounds to apply for positions at CHOC, even if your experience doesn't align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities. If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.