Job Details

Contract Specialist Managed Care, Senior

Company name

Children's Hospital Los Angeles

Organization Type

Public Interest

Job Type

Non-practicing Attorney

Years of Experience

Min 4 yrs required


Glendale, CA

Date Last Verified

Apr 19,2018

Posted on

Mar 18,2018
Practice Area
Contract Law >> Contract Law
Government and Government Relations >> Government and Government Relations
Health Care >> Health Care
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Contract Specialist Managed Care, Senior Duties: Process for negotiating, managing and evaluating payor contracts with health plans, medical groups, independent practice associations (IPA), hospitals/health care systems, government programs and other payors, as assigned, Medical Group, Alliance of Medical Providers , and Teaching Clinics. Analyzes cost and utilization data to develop rate proposals. Should possess a thorough understanding of contractual provisions, related to both financial and operational issues, and have the ability to present contractual language recommendations to leadership. Also serves as an operational liaison between assigned payors and Teaching Clinics. Should be able to provide guidance to Contract Specialist.

Qualification and Experience

Qualifications: Bachelor’s Degree or equivalent combination of education and relevant experience required; advanced degree (JD Degree , MBA, MHA) preferred. 4 years’ experience in healthcare contract negotiation.Must have prior hospital contracting experience. Ability to communicate effectively and professionally, verbally and written, with external/internal clients. Must be able to prioritize workload and function in a deadline-driven environment; plan, organize, and coordinate appropriate workload in conjunction with other team members. Strong analytical/deductive, mathematical analysis and problem solving skills. Proficient in data manipulation and spreadsheet development. Efficient in using Microsoft Office suite including Excel, PowerPoint, and Word. Prior negotiation experience and proven negotiation skills. Ability to interpret contractual language and regulatory requirements. Familiarity with various reimbursement methodologies, including per diems, case rates, and stop-loss. Ability to work independently and effectively under pressure to meet deadlines.

Additional info

Req # 31456

Company info

Hiring Coordinator
Children's Hospital Los Angeles
4650 Sunset Boulevard
Los Angeles, CA 90027

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