Mgr HP Contracting & Service - GA

CareSourceGeorgia WFH, GA
$83,000 - $132,800Onsite

About The Position

The Manager, Market Contracting is responsible for assisting the Director, and managing a team, to manage and negotiate assigned contracts including analysis of the contract proposals and conducting financial impact to make informed decisions as well as support activities related to quality and affordability initiatives (QAIs).

Requirements

  • Bachelor’s Degree in Business Administration or related field, or equivalent years of relevant work experience is required, or combination of education and related work experience
  • A minimum of three (3) years of progressive experience in health care or managed care is required
  • Experience in provider relations or contracting is required
  • Proficient with Microsoft Office to include Word, Excel and PowerPoint
  • Excellent written and verbal communications skills
  • Ability to develop, prioritize and accomplish goals
  • Detail oriented
  • Strong interpersonal skills and high level of professionalism
  • Effective listening and critical thinking skills
  • Effective problem-solving skills with attention to detail
  • Ability to work independently and within a team
  • Strong negotiation skills
  • Excellent leadership skills
  • Ability to create and maintain excellent working relationships
  • Excellent research and analytical skills
  • Business Analysis skills
  • Valid driver’s license is required
  • Influenza vaccination is a requirement of this position.

Nice To Haves

  • Previous management experience is preferred

Responsibilities

  • Responsible for tracking and trending, contracting trends, inventory, and priorities
  • Assists with the development and evolution of the team’s strategic direction, annual goals, and objectives; recommends new processes and changes for increased department productivity to ensure appropriate network adequacy and access across all products
  • Establish and maintain strong working relationships with key internal and external business partners
  • Develop and report on key accomplishments and issues to upper management
  • Lead cross-functional workgroups for special priority contracts, create and manage work plans, and facilitate the removal of barriers to ensure timely implementation of key contracts and providers
  • Conduct project team meetings to establish and execute on detailed project plans
  • Report on key initiatives and accomplishments to leadership, including PowerPoint report outs
  • Ensure proper documentation and standard operating procedures (SOPs) are followed by staff
  • Implement and maintain key metrics for staff performance
  • Manage day to day operations of direct reports, to include hiring decisions, performance management, training, and staff development
  • Participate in network provider meetings, attend key committees, subcommittees, and/or workgroups as necessary
  • Manage multiple projects; collect and analyze data and disseminate to appropriate departments as necessary
  • Ensure appropriate documentation of interactions and projects by all team members
  • Coordinate contract language change requests to ensure template accuracy and utilization
  • Perform any other job duties as requested

Benefits

  • bonus tied to company and individual performance
  • substantial and comprehensive total rewards package
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