Health Plan Contracts Lead

Community Bridges; Phoenix (AZ); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

5 weeks PTO

Medical, Dental, Vision

401K with employer match

Tuition reimbursement

Job summary

Community Bridges, Inc. (CBI) is seeking a Health Plan Contract Manager to oversee contracting with Medicaid, Medicare, Commercial payers and government entities.

The role requires coordinating with internal teams to ensure contracts meet requirements and are updated as needed. The ideal candidate will have a Bachelor's in Business Administration or Healthcare Management, 5+ years in healthcare contract management with rate setting experience, and AHCCCS familiarity.

Qualifications

• Bachelor’s degree in Business Administration or Healthcare Management required.
• Five (5) or more years of contract management/negotiation in healthcare required.
• Experience with rate setting and analysis required.
• AHCCCS health plan contracting experience strongly preferred.
• Knowledge of Medicaid, Medicare and Commercial systems and related regulations preferred.

Responsibilities

• Contract healthcare services with Medicaid, Medicare, Commercial payers and government entities.
• Act as the primary contact for health plan contract inquiries across internal teams.
• Implement contracting strategies identified by ELT and ensure contract knowledge is disseminated internally.
• Participate in payer Joint Operations Committee meetings and work with AP/Legal for amendments.
• Establish structures to track and monitor contracts through their lifespan.

Skills

Leadership experience

Contract management

Rate setting

AHCCCS contracting

Medicaid/Medicare knowledge

Multi-stakeholder collaboration

Education

Bachelor’s Degree in Business Administration or Healthcare Management

Master’s in Business Administration or Public Administration preferred

Job description

Community Bridges, Inc. (CBI) is seeking a Health Plan Contract Manager to oversee contracting with Medicaid, Medicare, Commercial payers and government entities.

The role requires coordinating with internal teams to ensure contracts meet requirements and are updated as needed. The ideal candidate will have a Bachelor's in Business Administration or Healthcare Management, 5+ years in healthcare contract management with rate setting experience, and AHCCCS familiarity.