Strategic Contract Template Governance Lead

L.A. Care Health Plan

Los Angeles (CA)

Vor Ort

USD 127.000 - 209.000

Vollzeit

Vor 8 Tagen

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Benefits dieser Stelle

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Zusammenfassung

L.A. Care Health Plan in Los Angeles is seeking a Senior Advisor Network Contract Template Governance to ensure the integrity and strategic alignment of all provider contracts across lines of business.

The role focuses on governance, template management, and coordination with stakeholders to drive compliant and operational contract processes, aligning with DMHC and DHCS requirements. Travel may be required for collaborative sessions and audits.

Qualifikationen

  • Bachelor's degree or equivalent experience in business/administration fields.
  • Experience in managed care provider contracting and network management.
  • Ability to translate complex concepts into clear business requirements.
  • Experience with governance processes, policies, or enterprise controls.
  • Strong communication and stakeholder management skills.

Aufgaben

  • Maintain integrity, consistency, and strategic alignment of all agreements and related documents.
  • Develop and enforce governance standards for templates, deviations, and changes.
  • Maintain centralized template inventories and ensure correct versions for providers and products.
  • Lead reviews to align contracts with business strategies and regulatory requirements.
  • Collaborate with internal teams to ensure compensation exhibits reflect approved methodologies.
  • Assess downstream impacts on claims, configuration, and operations from contract language.
  • Create tools to help contracting teams operate within governance parameters.

Kenntnisse

Contract governance
Provider contracting
Cross-functional collaboration
Governance framework
Documentation
Change management
Regulatory requirements
Budgeting / financial analysis
Communication skills
Problem solving

Ausbildung

Bachelor's Degree in Business Administration or Related Field
Master's Degree

Jobbeschreibung

L.A. Care Health Plan in Los Angeles is seeking a Senior Advisor Network Contract Template Governance to ensure the integrity and strategic alignment of all provider contracts across lines of business.

The role focuses on governance, template management, and coordination with stakeholders to drive compliant and operational contract processes, aligning with DMHC and DHCS requirements. Travel may be required for collaborative sessions and audits.

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