Healthcare Provider Contract Manager

7 days ago


San Francisco, California, United States San Francisco Health Plan Full time
About the Role

We are seeking a highly skilled Senior Contract Negotiator to join our team at San Francisco Health Plan. As a key member of our Contracts Management team, you will play a critical role in developing and implementing provider contracting strategies that align with our organization's goals and objectives.

Key Responsibilities
  • Develop and Manage Provider Contracting Efforts: Collaborate with internal stakeholders to develop and implement provider contracting strategies that meet our organization's needs.
  • Lead Contract Negotiations: Negotiate contracts with healthcare providers to ensure favorable terms and conditions that align with our organization's goals.
  • Ensure Contract Compliance: Ensure that all contracts are compliant with regulatory requirements and organizational policies.
  • Monitor and Analyze Contract Performance: Monitor and analyze contract performance to identify areas for improvement and make recommendations for optimization.
  • Communicate with Internal Stakeholders: Communicate contract terms and conditions to internal stakeholders, including providers, vendors, and medical groups.
Requirements
  • 5+ Years of Experience in Healthcare Provider Contracting: Proven experience in healthcare provider contracting, with a strong understanding of contracting strategies and negotiation techniques.
  • 3+ Years of Experience with Medi-Cal and/or Medicare: Experience working with Medi-Cal and/or Medicare, with a strong understanding of regulatory requirements and contracting strategies.
  • BA/BS in Business, Healthcare, or Related Field: Bachelor's degree in business, healthcare, or a related field, with a strong understanding of business principles and healthcare operations.
  • Strong Analytical and Communication Skills: Strong analytical and communication skills, with the ability to interpret data and communicate complex information to internal stakeholders.
About San Francisco Health Plan

San Francisco Health Plan is a managed care health plan that provides affordable healthcare coverage to low and moderate-income residents in San Francisco County. We are committed to providing high-quality healthcare services to our members and are seeking a highly skilled Senior Contract Negotiator to join our team.



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