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Contract Manager, San Francisco, CA


Organization: San Francisco Health Plan
Category: Professional
Location: San Francisco, CA
Date Job Posted: May 6, 2022
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Contract Manager

Department: Provider Relations
Office: HQ Beale Street
Location: San Francisco, CA

As the Contract Manager you will work collaboratively with the Contracts and Provider Relations teams driving negotiation and implementation of SFHP’s primary network clinic, medical group, hospital, and ancillary provider contracts. You will collaborate with both external providers of health care services and internal customers to establish and maintain new and existing provider contracts, resolving contract related issues that arise between any internal or external customers.

WHAT YOU WILL DO

  • Develop and manage provider contracting efforts and partnerships.
  • Lead the development of contracting strategies based on new or existing initiatives and requirements.
  • Ensure all configuration changes pertaining to new or amended contracts are implemented in a timely and accurate manner.
  • Successfully negotiate the terms and conditions of contracts and other transaction documents, finding creative solutions to avoid and resolve potential contractual impasses.
  • Monitor ad-hoc out-of-network service agreements to determine provider contract opportunities.
  • Communicate new and updated contract terms and rates to internal stakeholders.
  • Lead the contract templates and amendments development process.
  • Maintain effective working relationships with SFHP providers, vendors and medical groups, and internal staff.

WHAT YOU WILL BRING

  • 3 or more years of experience in health care provider contracting in a managed care setting.
  • BA/BS in Business, Health Care or related field .
  • Knowledge of managed care, Medi-Cal and other entitlement programs.
  • Exceptional ability to communicate effectively (spoken and written), give presentations and lead diverse groups.
  • Ability to analyze health care data for the purposes of contract negotiations.
  • Project management experience.
  • Ability to understand legal terms typically found in managed care agreements.
  • Experience with data gathering and analysis.
  • Detail oriented and organized with the ability to interpret policy and make recommendations.

Candidates will be required to show proof of up-to-date vaccination against COVID-19 as defined by the San Francisco Department of Public Health upon beginning employment. Reasonable accommodations will be considered on a case-by-case basis for exemptions to this requirement subject to the applicable law[s].

ABOUT US

Established in 1997, San Francisco Health Plan (SFHP) is a an award winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco county. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 135,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. SFHP was designed by and for the residents it serves, and takes great pride in its ability to accommodate a diverse population that includes young adults, seniors, and people with disabilities.

San Francisco Health Plan requires employees provide proof of an up-to-date vaccination against COVID-19 as defined by the San Francisco Department of Public Health. Reasonable accommodations will be considered on a case-by-case basis for exemptions to this requirement subject to the applicable law[s].

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports and respects all individuals and in which our processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

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