Sr Manager, Contracting (sr. Manager I)

CalOptima Foundation

Orange, CA, US
Base: $120,881 - $193,410; bonus/equity: not speci...
On-site
6 years provider contract negotiation experience
Managed care plan contracting expertise
Value-based reimbursement methodologies
This role involves leading complex contract negotiations for hospitals, specialty vendors, and government contracts within a mission-driven healthcare organization

Job Summary

  • This role involves leading complex contract negotiations for hospitals, specialty vendors, and government contracts within a mission-driven healthcare organization.
  • The successful candidate will manage a team of contracting professionals while ensuring compliance with CalOptima Health policies and government regulations.
  • Employees enjoy competitive compensation ranging from $120,881 to $193,410 along with comprehensive benefits including a CalPERS pension program.

Matching Summary

This role involves leading complex contract negotiations for hospitals, specialty vendors, and government contracts within a mission-driven healthcare organization.

Salary

Base: $120,881 - $193,410; Bonus/Equity: Not specified; Benefits: CalPERS pension, PTO, tuition reimbursement

Skills & Requirements

Must-have

  • 6 years provider contract negotiation experience
  • Managed care plan contracting expertise
  • Value-based reimbursement methodologies
  • Direct staff supervision and leadership
  • Medi-Cal and Medicare Advantage knowledge

Nice-to-have

  • Master's degree in healthcare administration
  • Provider network operations experience
  • Strong analytical and problem-solving skills
  • Experience with Covered California plans

Key Requirements

  • Bachelor of Science in business or healthcare administration
  • 6 years negotiating IPA, hospital, and professional provider contracts
  • 3 years progressive leadership experience with direct supervision
  • Experience with capitation, fee-for-service, and shared risk models

Work Rights

Must be authorized to work in the State of California

Tailored Resume

Cover Letter