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MANAGER, CONTRACT

Pomona Valley Hospital Medical Center

Pomona, CAContract$120–137K/yrSeen 2mo agoSeen in employer's feed 3 days ago

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At a glance

Compensation
$120–137K/yr
Location
Pomona, CA
Schedule
Contract
Work Authorization
Not specified

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Requirements

Credentials this posting asks for.

Valid California Driver's License

Job overview

Pomona Valley Hospital Medical Center is hiring a MANAGER, CONTRACT. The Manager, Contract is responsible for negotiating and implementing the hospital's managed care agreements. This role coordinates managed care activities with payers and internal departments to ensure successful agreement implementation and problem-solving. Key duties include reviewing trends, modeling rate proposals, analyzing contract performance, and researching relevant statutes and regulations. The manager also ensures efficient department processes and organized contract documentation.

Key focus areas include Negotiate and implement hospital's managed care agreements, Coordinate managed care activities with payers and internal departments, and Ensure successful implementation of new agreements.

Successful candidates bring Valid California Driver's License, High School Or Equivalent, and 2 Years Managed Care Negotiation Experience. Important skills include Managed Care Negotiation. Preferred (not required): Contract Implementation, Problem Solving, Trend Reporting, and Rate Proposal Modeling.

Skills & qualifications

RequiredNice to have

Skills

Managed Care NegotiationContract ImplementationProblem SolvingTrend ReportingRate Proposal ModelingContract Performance AnalysisContract Language AnalysisStatutes and Regulations ResearchProcess EfficiencyKnowledge of Hospital OperationsKnowledge of Health Plans

Qualifications

Valid California Driver's LicenseHigh School or Equivalent2 Years Managed Care Negotiation ExperienceBachelor's Degree

Full job description

Position Summary: Negotiation and implementation of the hospital’s managed care agreements as assigned by the Director of Managed Care. Coordination of managed care activities with payers and internal PVHMC departments to ensure successful implementation of new agreements and to problem-solve current agreements. Review and report trends, model rate JOB DESCRIPTION 04/18/2023 1 of 20 proposals, and analyze overall contract performance. Review, analyze and recommend contract language. Research statutes and regulations related to the managed care arena. Ensure department processes are efficient, and that contract documents are kept in a controlled and orderly manner. May perform other duties as assigned.

Required Qualifications: Valid California Driver's License and ability to drive to off-site negotiations and meetings. High School or equivalent. Two years' managed care negotiation experience.

Preferred Qualifications: Bachelor's Degree. Knowledge of hospital operations and health plans.

Salary range: $120,400–$137,200 annually. Salary will be commensurate with experience.

As part of our ongoing effort to remain an employer of choice, eligible employees who work qualifying weekend shifts receive a competitive weekend rate.

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