19 days old

Sr. Mgr, Area Contracts

Magellan HRSC, Inc.
Tampa, FL 33602
  • Job Code
    R00000029808
Responsible for the implementation and support of all activities related to developing and maintaining service provider contracts Interacts within all areas of the Magellan organization, including adult/children's services, finance team and other network teams to coordinate facility/organizational network management and administration responsibilities. This position is responsible for monitoring provider contract compliance and for development of performance based contract incentives.
  • Negotiates contracts and amendments with Public Network Operators (PNOs), facilities, organizational and/or large group providers as well as independent practitioners.  
  • Works with other departments as needed for timely completion of annual amendment cycles from beginning to end; this position has primary responsibility for managing annual re-contracting efforts across departments;
  • Provides oversight to the Prospective Provider and SCA processes.  Manages the Primary Care Management Module (PCMM) and Rates Governance process to address provider requests for contract modification.  
  • Minimize situations where retro-active contract modifications are required; when retro-active implementation is necessary, utilize streamlined approach to obtain approvals, providing thorough communication to approvers regarding the reason for delay;
  • Develops and implements process for monitoring provider contract compliance and performance based contract incentives.
  • Identifies and implements process improvements to the contract/amendment process as needed.
  • Ensures that contracts are system compatible, loaded correctly, timely and meet legal and business standards.  
  • Ensures contracts are audited accurately and timely.
  • Develops and maintains professional working relationship with providers.  
  • Provides supervision/performance management to team of contract coordinators.
  • Work in concert with other teams to respond to changing or emerging system initiatives; actively participate in RFP re-bid processes as needed;

General Job Information

 

Title

Sr. Mgr, Area Contracts

Grade

26

Job Family

Legal Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

10/31/2019

Date Requisition Created

10/30/2019

Work Experience

Contract Administration and Management, Managed Healthcare

Education

Bachelors (Required)

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

Knowledge of Regional Behavioral Health System network and providers preferred

  • A minimum of 5 years of progressively more responsible public sector health care administration experience (contract administration.
  • Demonstrated advanced experience with public sector financial/contractual analysis and negotiations including risk arrangements.
  • Awareness of and/or experience with trends toward contracting integrated healthcare networks.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.







Posted: 2019-10-31 Expires: 2019-11-29
Sponsored by:
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Sponsored by:
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Sr. Mgr, Area Contracts

Magellan HRSC, Inc.
Tampa, FL 33602

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