Health Plan Contract Manager

Health Plan Contract ManagerCommunity Bridges Inc. (CB I) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient physical health medication-assisted treatment and crisis services to individuals experiencing substance use disorder homelessness and mental is the premiere non-profit fully integrated healthcare provider of substance use and behavioral health programs in Arizona including prevention education and treatment using cutting-edge nationally recognized evidence-based Summary The Health Plan Contract Manager is a key contributor whose primary responsibility is contracting healthcare services provided by Community Bridges Inc. (CBI) with Medicaid Medicare and Commercial payers and government entities (e.g. counties cities other municipalities). The manager serves as the point of contact for internal inquiries regarding health plan contract needs implements contracting strategies identified by the Executive Leadership Team (ELT) and works collaboratively with all internal departments to ensure there is awareness and knowledge of contracts and contract requirements. The manager also participates in payer Joint Operations Committee (JOC) meetings and is position is also involved in contracts with Accountable Care Organizations. The administrator works closely with the VP Payer Relations to provide status updates on contracting opportunities existing contracts that require amendments and ensure legal review is completed prior to recommending signature. This position is also responsible for establishing the necessary structures for tracking and monitoring contracts through the lifespan to ensure contracts are Bachelors Degree in Business Administration or Healthcare Management or a related field required. Masters in Business Administration or Public Administration preferred. Two (2) or more years of leadership experience is required. Five (5) or more years of experience in contract management/negotiation of healthcare contracts (Behavioral Health Addiction Integrated Care) in multiple settings (e.g. outpatient facility physician/provider etc.) with rate setting and analysis required. o Three (3) or more years of experience with rate setting and analysis preferred. Working knowledge in key healthcare operations (e.g. claims/billing coding credentialing Health plan contracting experience strongly preferred. Knowledge of healthcare industry statutes and regulations in Medicaid Medicare and Commercial systems; knowledge of behavioral health addiction and physical health services strongly preferred. Knowledge of multiple reimbursement strategies: FFS Pay for Performance Full Risk strongly preferred. Knowledge of ACOs and contracting with ACOs strongly Health plan contracting experience and building relationships Care Organization experience -state healthcare payer strategy or contracting experience Offers an excellent benefits package!Generous PTO accrual (5 weeks!)Medical Dental Vision Disability Life Supplemental plansHospital indemnity/ Critical IllnessPet InsuranceDependent Care Savings Health Care Savings401K with employer match - 100% vested upon enrollmentWellness programsTuition Reimbursement and Scholarship Programs incentives and more!Very Competitive pay rates CBI is growing and expanding our services!We are experiencing tremendous growth in this time. As an essential service provider we value all our employees and their careers. *For the past four years The Phoenix Business Journal has recognized CBI as one of the top ten healthiest mid-size employers in the Valley! *CBI Values your Career and have lots of growth opportunities!Our staff experience tremendous professional growth through ongoing training and support. Our team is supported by strong and competent leadership. The leadership at CBI is committed to ongoing professional development for their staff. Come join our team of passionate individuals who are serious about making a difference in the lives of our patients and the communities we our Culture commitment to employees!We are looking for driven and compassionate individuals that thrive in an upbeat and safe working environment. We dedicate a lot of thought and effort into work life balance as well as our competitive composition know life happens thats why we all start with a 5-week PTO plan as well as a wide range of unique benefits!Our 26 locations are all state-of-the-art facilities that provides top notch integrated care. We are proud to adhere to a no wrong door treatment approach that allows our staff to dramatically improve the quality of life for the patients in their treats patients from all different walks of life and believes in maintaining the dignity of human life. Recovery is possible!