Contract Manager
UCLA Health
Los Angelos, California 90001

Job Description

Responsibilities

 

Take on a key role within a world-class health organization. Help ensure the consistent delivery of exceptional patient care. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.

 

You will be responsible for producing and negotiating Ambulatory Surgery Center (ASC) and professional service contracts in accordance with established rate and language parameters. This will include modeling, analysis and compilation of volumes and financial data, and negotiation of one-time agreements as needed. You will manage a portfolio of contracts as you lead contract implementation within key operational areas. Your success involves maintaining positive relationships with joint venture partners, health plans, medical groups and other third-party payors to assure their ongoing satisfaction. You will also collaborate with internal and external parties to resolve contract-related operational issues in a timely manner.  You will:

 

  • Develop and negotiate service contracts
  • Review, analyze and compile ASC, hospital and professional data for clinical procedures/treatments
  • Evaluate profitability of clinical services for developing contracts
  • Review, analyze and present data for specific clinical services
  • Negotiate contract rates/language with third party payers
  • Determine and recommend clinical service packages
  • Develop payor performance report/dashboard
  • Provide market summary to executive leadership
  • Provide timely responses to contracting opportunities and queries

 

Qualifications

 

We're seeking a self-motivated, detail-oriented individual with:

  • A Bachelor's degree, preferred
  • Extensive experience managing ASC contract negotiations
  • Knowledge of the Southern California managed care marketplace
  • Advanced managed care contract negotiation skills, specifically within a hospital, medical group, health system, or health plan environment
  • Knowledge of ASC, hospital and professional reimbursement mechanisms
  • Ability to work with other hospital and clinical departments to implement negotiated contracts
  • Strong analytical, team work, customer service and prioritization skills
  • Proficiency with Word and Excel
  • Experience with database applications a plus
  • Understanding of organizational dynamics
  • Case rate contracting experience highly desirable

 

UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles. We are also home to the David Geffen School of Medicine, an internationally-respected leader in medical education and research. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, UCan at UCLA Health.

UCLA is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

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Employment/Position Type:

Full Time
Date Posted : 11/18/2020