Contracts Manager - EPO - PHMI EE Benefits in Ontario, CA at Prime Healthcare

Date Posted: 10/30/2020

Job Snapshot

Job Description

Responsibilities The Contract Manager is responsible for negotiating agreements with integrated healthcare delivery systems, hospitals, ancillary providers, physicians and physician groups that result in the Prime Healthcare EPO Tier 1 network having high quality, cost effective and marketable providers. This position is accountable for ensuring effective implementation of new as well as renewed contracts through communication and coordination with other functional areas. This position creates, negotiates and incorporates Prime Healthcare EPO Tier 1 contract amendments as well as renegotiating contracts to accommodate scope changes or changes in organization requirements. This position may lead related initiatives and projects. Travel is required.

 

Note: This position is not responsible for the Prime Healthcare Employed Physician Groups but is expected to integrate with them.

 

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Required qualifications:

    Bachelor’s degree in Health Care Administration or related field or equivalent work experience required and five (5) years’ experience in Self-Funded Plans, OR Master’s degree in Health Care Administration or Management and four (4) years’ experience in Contracting model setting, OR Any appropriate combination of education and experience. Ability to travel
 Preferred qualifications: 

    Experience with Self-Funded Plans
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