Manager of Contracting

LSMA Management, Inc.; San Bernardino (CA); On-site; USD 110,000 - 130,000; Full time

Job summary

LSMA Management, Inc. seeks a Manager of Contracting to lead day-to-day management, negotiation, implementation, and administration of contracts with payers, providers, and vendors for LSMA, LaSalle Health Plan, and Maren Medical Group.

Under the direction of the Vice President of Contracting, the Manager oversees contracting activities that support organizational objectives and regulatory compliance. Under the VP of Contracting, you will oversee negotiations, implement contracts, amendments,

Qualifications

• 5–7 years in healthcare contracting
• 3+ years supervisory or project leadership
• Experience negotiating managed care payer and provider contracts
• Experience with Commercial, Medicare Advantage, Medi-Cal
• California managed care contracting experience preferred
• Experience with value-based payment programs preferred
• Equivalent combination of education and experience considered

Responsibilities

• Oversee contract negotiations, implementation, amendments, renewals
• Monitor contractual performance and reimbursement
• Develop and maintain provider network relationships
• Coordinate with Finance, Medical Management, Compliance, Legal
• Ensure regulatory compliance with federal and California laws

Skills

Contract negotiation

Financial analysis

Project management

Communication skills

Provider relations

Interpersonal skills

Regulatory knowledge

Microsoft Office

Education

Bachelor's degree in healthcare administration or related field

Master's degree preferred (MBA, MHA, MPH, JD)

Tools

Microsoft Office

Contract management software

Job description

JOB SUMMARY

The Manager of Contracting is responsible for the day-to-day management, negotiation, implementation, and administration of payer, provider, and vendor contracts for LSMA Management, Inc., LaSalle Health Plan, and Maren Medical Group. Under the direction of the Vice President of Contracting, the Manager oversees contracting activities that support organizational objectives, provider network development, reimbursement optimization, and regulatory compliance.

Description

JOB SUMMARY

The Manager of Contracting is responsible for the day-to-day management, negotiation, implementation, and administration of payer, provider, and vendor contracts for LSMA Management, Inc., LaSalle Health Plan, and Maren Medical Group. Under the direction of the Vice President of Contracting, the Manager oversees contracting activities that support organizational objectives, provider network development, reimbursement optimization, and regulatory compliance. The Manager develops and maintains productive relationships with health plans, physicians, hospitals, ancillary providers, and strategic vendors while coordinating contract negotiations, implementation, amendments, renewals, and ongoing contract performance. This position collaborates closely with Finance, Medical Management, Provider Relations, Credentialing, Compliance, Legal Counsel, and Operations to ensure contractual obligations are effectively implemented and monitored. The Manager is responsible for maintaining contract documentation, monitoring reimbursement performance, supporting value-based care initiatives, ensuring compliance with applicable federal and California healthcare regulations, and supervising the daily operations of the Contracting department.

Requirements

MINIMUM & PREFERRED QUALIFICATIONS

Education/Training

Minimum: Bachelor's degree in Healthcare Administration, Business Administration, Finance, Public Health, or related field required.

Preferred: Master's degree (MBA, MHA, MPH, JD, or related discipline).

Experience

Minimum: At least five to seven years of progressively responsible healthcare contracting experience. Minimum three (3) years of supervisory or project leadership experience. Experience negotiating managed care payer and provider contracts. Experience within an MSO, IPA, health plan, medical group, ACO, or integrated delivery system. Experience with Commercial, Medicare Advantage, and Medi-Cal reimbursement models.

Preferred: California managed care contracting experience. Experience with delegated services agreements. Experience supporting value-based payment programs.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.

Skills, Knowledge & Abilities

• Thorough knowledge of healthcare contracting principles.
• Knowledge of managed care reimbursement methodologies.
• Understanding of provider network development.
• Knowledge of CMS, DHCS, DMHC, and California managed care regulations.
• Strong contract negotiation skills.
• Financial analysis and reimbursement modeling abilities.
• Excellent written and verbal communication skills.
• Ability to interpret legal agreements.
• Strong organizational and project management skills.
• Ability to supervise multiple projects simultaneously.
• Proficiency in Microsoft Office and contract management software.
• Strong interpersonal and relationship-building skills.

Physical, Mental & Environmental Requirements

The physical demands described here are represented by those that must be met by an employee to successfully perform the essential functions of this job. This position performs work in a professional office environment and requires prolonged computer use, frequent communication in person and through virtual platforms, and occasional travel to provider offices, health plans, and business meetings. The position requires the ability to lift and carry up to 20 pounds on an occasional basis.

PAY RANGE

$110,000.00 - $130,000.00 / annually