Contract Manager

Golden Care; La Mesa (CA); On-site; USD 110,000 - 150,000; Full time

Job summary

Golden Care is seeking an experienced Strategic Partnerships Manager to expand our non-medical home care services into contracted payer and institutional markets.

This role focuses on identifying and securing contracts with health plans, regional centers, waiver agencies, PACE organizations, and other entities that fund or pay for home care. You will leverage existing relationships, navigate enrollment and credentialing, and drive opportunities from introduction to launch.

Qualifications

• At least 3 years of experience in healthcare partnerships or payer contracting.
• Proven success securing provider agreements with payers and related entities.
• Established relationships with contracting, provider network or program leaders.
• Experience navigating enrollment, credentialing, vendorization, or payer processes.
• Ability to evaluate reimbursement terms with operations and finance leadership.
• Strong relationship-building, negotiation, presentation and written communication.
• Ability to manage a contracting pipeline end-to-end.
• Proficiency with Microsoft 365 and Excel in tracking activities.

Responsibilities

• Develop and execute a strategy to expand contracted service partnerships.
• Use established relationships to connect with decision-makers in contracting, network development, and program administration.
• Identify opportunities with Medi-Cal managed care, CalAIM Community Supports, regional centers, HCBS waivers, PACE, and other payer arrangements.
• Determine if organizations are accepting providers and assess needs, requirements, and reimbursement alignment.
• Lead outreach, contracting meetings, proposals, and follow-up.
• Manage provider applications, credentialing, enrollment, and vendor processes.
• Lead contract and reimbursement discussions with leadership approval.
• Maintain a clear pipeline of partnerships, decision makers, requirements, and timelines.
• Coordinate with Operations and Finance to assess staffing capacity and readiness before launch.
• Support transition of contracts into operational workflows, including referrals, authorizations, and billing.
• Maintain partner relationships and seek opportunities to expand services under existing agreements.

Skills

Healthcare partnerships

Payer contracting

Provider network development

Negotiation

Presentation

Written communication

Relationship building

Contract management pipeline

Microsoft 365

Excel

Tools

Microsoft 365

Excel

Job description

Golden Care is seeking an experienced Strategic Partnerships Manager to expand our non-medical home care services into contracted payer and institutional markets.

This position will identify, pursue, and secure contracts with health plans, regional centers, waiver agencies, PACE organizations, and other organizations that authorize or pay for eligible home care services.

The ideal candidate brings established industry relationships and demonstrated success obtaining provider contracts. They understand how to reach contracting decision-makers, identify viable opportunities, navigate enrollment and credentialing requirements, and move opportunities from initial introduction through contract execution and service launch.

Key Responsibilities

• • Develop and execute a strategy to expand Golden Care's contracted service partnerships.
  • Use established professional relationships to connect with decision-makers in provider contracting , network development, and program administration
  • Identify and pursue opportunities involving Medi-Cal managed care, CalAIM Community Supports, regional centers, HCBS waiver programs, PACE, and other eligible payer arrangements.
  • Determine whether organizations are accepting providers and assess service needs, participation requirements, reimbursement rates, and alignment with Golden Care's capabilities.
  • Lead outreach, contracting meetings, presentations, proposals, and follow-up.
  • Manage provider applications, credentialing, enrollment, and vendor processes in collaboration with leadership and internal teams.
  • Lead contract and reimbursement discussions, with final terms subject to leadership approval.
  • Maintain a clear pipeline of prospective partnerships, decision makers, application requirements, next steps, and anticipated timelines.
  • Coordinate with Operations and Financial services to assess staffing capacity, service requirements, reimbursement feasibility, and readiness before launch.
  • Support transition of executed contracts into operational workflows, including referral intake, authorizations, documentation, and billing requirements.
  • Maintain partner relationships and identify opportunities to expand services under existing agreements.

What Success Looks Like

• • Qualified contracting opportunities with clear decision-makers and actionable next steps.

  • Timely, complete applications and consistent follow-through.

  • Executed contracts with financially and operationally viable terms.

  • Successful program launches in coordination with internal teams.

  • Growth in contracted referrals, service hours, and collected revenue.

  • Clear reporting to leadership on progress, barriers, and opportunities.

Required Qualifications

• At least 3 years of relevant experience in healthcare partnerships, payer contracting, provider network development, or a closely related role.

• Demonstrated success securing provider agreements or service contracts with payers, regional centers, waiver agencies, PACE organizations, or comparable entities.

• Established professional relationships with relevant contracting, provider network, or program decision-makers.

• Experience navigating provider enrollment, credentialing, vendorization, or payer contracting processes.

• Ability to evaluate reimbursement terms and service requirements in collaboration with operational and financial leadership.

• Strong relationship-building, negotiation, presentation, and written communication skills.

• Ability to independently manage a contracting pipeline and move opportunities through completion.

• Proficiency in Microsoft 365, Excel, and tools used to track partnership activity.

Preferred Qualifications

• • Established relationships within San Diego County and the Southern California healthcare market.

  • Experience securing contracts for non-medical home care, personal care, respite, or other home and community-based services.

  • Direct experience with CalAIM Community Supports, Medi-Cal managed care plans, regional centers, HCBA waiver agencies, or PACE organizations.

  • Experience helping a home care organization expand from private-pay services into contracted programs.