Provider Contract Manager at CareSource

Job Summary:The Provider Contract Manager supports the Director, Provider Contracting & Strategic Growth with the development, implementation, and management of provider contracting operations processes.Essential Functions:Ensure operational effectiveness by assisting in strategic and business planning, including strategic initiative identification and resource planning and allocationPartner with leadership to determine and prioritize opportunities to achieve departmental and enterprise goalsParticipate in provider contract template developmentProvide proactive support, oversight, and management of Preferred, Acceptable, Discouraged, and Unacceptable (PADU). tool and Contract Review Committee (CRC)Collaborate with internal business areas on contract negotiations to understand and mitigate operational impactsAct as a provider contract management system subject matter expert including but not limited to facilitating user training, contract template management, system troubleshooting, and business requirementsFacilitate in the development, implementation, and monitoring of departmental policies and proceduresSupport activities as assigned in relation to business developmentRecognize and proactively manage operational dependencies and risks across strategic initiatives and process improvementsParticipate in the process of estimating initiative budgets as well as developing business cases and tracking the benefits realizationDevelop and maintain an in-depth knowledge of the company's business and regulatory environmentsPerform any other job duties as requestedEducation and Experience:Bachelor's degree in a healthcare related field, or equivalent years of relevant work experience is requiredMaster's Degree or equivalent work experience is preferredMinimum of three (3) years of healthcare experience, to include one (1) year of work experience in managed care provider relations or provider contractingMinimum of three (3) years of experience in leading business initiatives to drive systemic change is preferredManaged care experience is highly preferredCompetencies, Knowledge and Skills:Proficient in Microsoft Office Suite (Outlook, Teams, Word, Excel, PowerPoint, and SharePoint). Experience with Visio is a plusEffective identification of business problems, assessment of proposed solutions to those problems, and understanding of the needs of business partnersAdvanced-level knowledge of provider contracting processes and operationsWorking knowledge of complex provider organizational structures including but not limited to Accountable Care Organizations (ACOs), Clinically Integrated Networks (CIN), and Independent Practice Associations (IPAs). Excellent written and verbal communication and interaction skillsEffective problem-solving, critical thinking, and listeningAbility to manage and prioritize multiple tasks, promote teamwork and fact-based decision makingLicensure and Certification:NoneWorking Conditions:General office environment; may be required to sit or stand for extended periods of timePerform reasonable travel, up to 15% to fulfill the duties of the positionCompensation Range:$70,800.00 - $113,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.Compensation Type:SalaryCompetencies:- Fostering a Collaborative Workplace Culture- Cultivate Partnerships- Develop Self and Others- Drive Execution- Influence Others- Pursue Personal Excellence- Understand the BusinessThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-EM1