Manager, Provider Network Contracting & Relations New Oakland, CA

Elders; Oakland (CA); In loco; USD 136.000 - 164.000; Tempo pieno

Descrizione del lavoro

Center for Elders’ Independence in Oakland, CA seeks a Manager of Contracting to lead provider network contracting, oversee the contract lifecycle, and ensure DHS/CMS compliance. This full-time role negotiates agreements, coordinates with internal and external partners, and manages vendor communications and education on contract requirements.

Salary range: $135,937–$164,413 USD. Qualifications include a bachelor’s degree in health care administration or related field and five years of experience

Competenze

• Bachelor’s degree in health care administration or related field.
• Minimum five years in contract negotiations or fiscal management.
• Supervisory or leadership experience preferred.

Mansioni

• Lead complex contracting and reimbursement negotiations with providers and vendors.
• Oversee the contract lifecycle including loading, submissions, and coordination with partners.
• Ensure contracts comply with DHS and CMS regulations.
• Monitor contract performance and renewals.

Conoscenze

Contract negotiations

Regulatory compliance

Vendor management

Communication skills

Formazione

Bachelor's degree in healthcare administration

Strumenti

Contract management systems

Provider databases

MS Office

Descrizione del lavoro

Manager, Provider Network Contracting & Relations

Oakland, CA

MANAGER OF CONTRACTS

The Center for Elders’ Independence is a PACE (Program of All-Inclusive Care for the Elderly ) organization that uses an interdisciplinary team approach to plan and deliver purposeful , high - quality, affordable, and integrated health care services to older adults. Individuals who meet PACE requirements , as established by CMS , are referred to as participants. CEI includes Adult Day Health Centers and primary care clinics that promote participant autonomy, quality of life , and the abi lity for individuals to live in their communities.

The Position: T he Manager of Contract ing is a full-time position reporting to the Chief Financial Officer . The Manager of Contract ing leads and coordinates provider and centralized contracting activities , work ing closely with internal and external partners to procur e , develop, review , and negotiat e agreements. The Manager of Contract ing oversees contract negotiations and manages provider and vendor communications, including education regarding contract requ irements .

The annual pay range for the Manager of Contracting position at Center for Elders’ Independence is $135,937 to $ 164,413 . Placement within the range is determined based on job-related factors such as relevant experience, skills, abilities, internal equity, and market data, consistent with CEI’s annual compensation review and established compensation practices.

DUTIES AND RESPONSIBILITIES:

• Leads complex contracting and reimbursement negotiations, including outreach and contract negotiations with provider network and vendors.
• Oversee the contract lifecycle including loading, submissions, and coordination with matrix partners for network implementation and maintenance.
• Ensure that contracts comply with DHS and CMS regulations.
• Ensures departmental compliance with provider roster and credentialing requirements .
• Monitors contracts, enforces contract terms, and ensures renewals and amendments are completed in a timely manner.
• Manage network adequacy in alignment with business needs and regulatory guide lines.
• Leads contract onboarding and education on CEI/PACE requirements.
• Monitors contract performance and support timely issue resolution .
• Oversee the finalization of Letters of Agreement and Memoranda of Understanding.
• Prepares, analyzes, reviews, and projects the fiscal impact of complex contracts, including value-based care and alternative payment arrangements.
• Updates the Provider Manual annually .
• Overseas the accuracy of contracting and purchasing software systems.
• Develops and implements departmental policies and procedures.
• Monitors and reviews departmental duties, compliance, and workflow to ensure policies are implemented with the highest level of efficiency and accuracy.
• Perform supervisory duties, including interviewing, hiring, training employees, assigning work, and supporting staff development.
• Evaluates the performance of direct reports, recommends training, and maintains staff at the level of skill necessary to meet organizational objectives.
• Build relationships that support external and inte rnal partnerships and identifies broader business opportunities that advance the organization’s strategy.

QUALIFICATIONS:

• Requires a bachelor’s degree in health care administration, business administration, finance, public administration, or a related field.
• Requires five years of experience in contract negotiations, fiscal management , or a related field.
• Supervisory or leadership experience preferred.
• Experience in using contract management systems, provider databases, and reporting tools preferred.
• Req uires knowledge of Medicare, Medicaid, and commercial reimbursement practices, as well as three years of experience in physician, health care, and vendor contract negotiation and administration.
• Requires familiarity with terms and conditions for services and in-depth knowledge of legal terminology.
• Knowledge of ICD-9, ICD-10, CPT, and HCPCS codes is preferred.
• Demonstrates an elevated level of diligence and attention to detail.
• Proficient in Microsoft Office, including Excel, Word, and PowerPoint; experienc e with contract management software is preferred.
• Demonstrates excellent written and verbal communication skills, with the ability to communicate clearly, concisely, and effectively at all levels of the organization.
• Demonstrates the ability to plan, organize, and meet deadlines while managing numerous and changing priorities.

This job description is intended to communicate the general functions of the position and is not intended to be an exhaustive or complete outline of all tasks and responsibilities th at may be required. CEI reserves the right to modify job descriptions, site assignments, and / or work hours based on the needs of the program. All employees are expected to perform their duties to the best of their abilities and as required by the position and/or requested by management.

7/27/2026

Placement within the compensation range listed here is determined by job-related qualifications, experience, internal equity, and market factors, consistent with CEI compensation practices.

Salary Range

$135,937 - $164,413 USD

As set forth in Center for Elders' Independence’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.