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Contracts Manager, Behavioral Health - Remote California

Company: Magellan Health Services
Location: San Diego
Posted on: June 13, 2021

Job Description:

Responsible for the implementation and support of all activities related to developing and maintaining service provider contracts. Interacts with all areas of the Magellan organization to coordinate network management and network administration responsibilities and facilitates resolution of contract issues, obtains legal review and approval of working changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance based contract incentives and rate negotiations.

  • Negotiates contracts and amendments with facilities, organizational and/or large group providers, as well as independent practitioners.
  • Works with other departments as needed for timely completion of annual amendment cycles from beginning to end.
  • Manages annual re-contracting efforts across departments.
  • Minimizes situations where retro-active contract modifications are required.
  • When retro-active implementation is necessary, utilizes streamlined approach to obtain approvals, providing thorough communication to approvers regarding the reason for delay.
  • Monitors ongoing provider performance changes in cost and utilization needs.
  • Develops and maintains professional working relationships with providers.
  • Analyzes contract modification requests and coordinates with the Finance Department on financial impact of any rate/funding changes.
  • Develops and implements process for monitoring provider contract compliance and performance based contract incentives.
  • Identifies and implements process improvements to the contract/amendment process as needed.
  • Ensures contracts audits are accurate and on time.
  • Develops and maintains professional working relationship with providers.
  • Works in concert with other teams to respond to changing or emerging system initiatives; actively participates in RFP re-bid processes as needed.
  • Recruits new providers with all license types.
  • Works on other network management projects as needed.

Other Job Requirements

Responsibilities

  • A minimum of 5 years of progressively more responsible health care administration experience in contract administration.
  • Demonstrated advanced experience with financial/contractual analysis and negotiations including risk arrangements.
  • Awareness of and/or experience with trends toward contracting integrated healthcare networks.
  • Critical thinker.
  • Self-motivated and a team player.
  • 5 years of direct experience in lieu of degree.

General Job Information

Title

Contracts Manager, Behavioral Health - Remote California

Grade

25

Work Experience

Contract Administration and Management, Network

Education

A Combination of Education and Work Experience May Be Considered., Bachelors

License and Certifications - Required

License and Certifications - Preferred

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their

position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Keywords: Magellan Health Services, San Diego , Contracts Manager, Behavioral Health - Remote California, Other , San Diego, California

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