Manager, Contracting (Hybrid)

Cottage HealthSanta Barbara, CA
11hHybrid

About The Position

Cottage Health seeks a Manager, Contracting responsible for provide research, analysis, recommendations and implementation of managed care and service contracts as well as lease agreements for Cottage Health and affiliated entities. Accountabilities include strategizing, reviewing and negotiating managed care contracts working with the CFO, financial planning, and legal to plan for adequate reimbursement for healthcare services. Responsibilities This is not an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any job, with related instruction given by their supervisor, subject to reasonable accommodation.

Requirements

  • All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
  • Minimum: Bachelors Degree
  • Minimum: High proficiency with Word, Excel & Power Point; ability to navigate online databases & complete detailed data entry in an online format.

Nice To Haves

  • Preferred: Masters Degree
  • Preferred: Certified Revenue Cycle Representative
  • Preferred: Proficiency with MediTract or comparable online database

Responsibilities

  • Assists in the development of value-based contract strategy, including bundled payment arrangements, capitated payment arrangements, etc.
  • Interfaces with Patient Business Services on disputes between contract payment and actual payment.
  • Supports requests and negotiates payment from non-contracted third party payers for services provided to inpatients of the three hospitals.
  • Supports VPs, department directors and managers on service contract and lease review, initiation and renewal, ensuring compliance with the Cottage Health Contract for Services policy.
  • Provides recommendations for cost savings and compliance improvements.
  • Administrator for the contract management system (MediTract) for managed care and service contracts.
  • Maintenance of system to ensure adequacy and accuracy of the contract database.
  • Communicates throughout the organization on issues related to all contracts and leases, including payer and vendor programs, policies and procedures.
  • Provides recommendations for contract policy updates.
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