UC Davis Health System
Managed Care Contract Manager
UC Davis Health System, Sacramento, California, United States, 95828
UC Davis Health provided pay range. This range is provided by UC Davis Health. Your actual pay will be based on your skills and experience talk with your recruiter to learn more.
Base pay range
$102,400.00/yr - $202,400.00/yr The incumbent works independently and proactively with decision?making responsibility under the general oversight and direction of the UCDH Managed Care & Pharmacy Contracts Director; assists department/division leadership with and/or independently drafts, negotiates, oversees, coordinates and processes Departments payor and provider contracts with professional, facility, pharmacy and ancillary payor and provider contracts with managed care payors including: HMO/PPO health plans/payors, insurance companies, third party administrators, payor/specialty networks and external providers. Incumbent will be responsible for drafting original and change documents, reviews and edits proposed documents and administers/implements all such contractual transactions during the in?force life of the arrangement. The incumbent serves as a resource for UCDH staff and others to provide information, interpretation, and training regarding the financial and operational terms of the contracted arrangements through a variety of means. The role is responsible for cooperation and coordination with all impacted UCDH managed care and non?managed care operational or functional areas. The incumbent performs researches through a variety of means, evaluates, implements and incorporates into contracts changes in federal and/or State law and University policy related to health care contracting. This role will negotiate and manage payor, pharmacy and health plan contracts responsible for system revenue in excess of $2 billion. Seniority level Director Employment type
Full?time Job function
Management Industries
Hospitals and Health Care Benefits
Medical insurance Vision insurance 401(k) Pension plan Paid maternity leave Paid paternity leave Tuition assistance
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$102,400.00/yr - $202,400.00/yr The incumbent works independently and proactively with decision?making responsibility under the general oversight and direction of the UCDH Managed Care & Pharmacy Contracts Director; assists department/division leadership with and/or independently drafts, negotiates, oversees, coordinates and processes Departments payor and provider contracts with professional, facility, pharmacy and ancillary payor and provider contracts with managed care payors including: HMO/PPO health plans/payors, insurance companies, third party administrators, payor/specialty networks and external providers. Incumbent will be responsible for drafting original and change documents, reviews and edits proposed documents and administers/implements all such contractual transactions during the in?force life of the arrangement. The incumbent serves as a resource for UCDH staff and others to provide information, interpretation, and training regarding the financial and operational terms of the contracted arrangements through a variety of means. The role is responsible for cooperation and coordination with all impacted UCDH managed care and non?managed care operational or functional areas. The incumbent performs researches through a variety of means, evaluates, implements and incorporates into contracts changes in federal and/or State law and University policy related to health care contracting. This role will negotiate and manage payor, pharmacy and health plan contracts responsible for system revenue in excess of $2 billion. Seniority level Director Employment type
Full?time Job function
Management Industries
Hospitals and Health Care Benefits
Medical insurance Vision insurance 401(k) Pension plan Paid maternity leave Paid paternity leave Tuition assistance
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