Manager - Contracting

Manager - Contracting

Department: ApolloCare TX - Business Dev.

Employment Type: Full Time

Location: 19500 HWY 249, Suite 570 Houston, TX 77070

Reporting To: Allen Chen

Compensation: $90,000 - $110,000 / year

Description

Job Title: Manager - Contracting

Department: ApolloCare TX - Operations

About the Role:

Manage the recruitment and negotiation of provider and/or vendor contracts in accordance with company and state guidelines.

What You'll Do

• Manage recruitment of regional and/or national providers and/or vendors in accordance with corporate, health plan, and state guidelines for assigned regions.
• Define, initiate, and direct operational reporting for the assigned functions including establishing goals, metrics, etc.
• Collaborate with new business contracting departments to identify and develop provider networks utilizing provider and vendor agreements.
• Negotiate provider or vendor contracts, manage implementations and foster ongoing relationships.
• Manage contract modifications, coordinating with local health plans, legal and other applicable internal teams.
• Initiate and lead meetings with health plans and corporate teams, including executive management, to review vendor and provider agreement performance data and scorecards, and partnership strategy.

Qualifications

• Bachelor's degree in Health Administration, Business Administration, related field or equivalent experience.
• 5+ years of contracting, contract analysis, provider relations, or provider experience, preferably in a hospital, physician's office, physician group or ancillary services setting.
• Experience in project management, managed care, State and/or Federal health programs and working knowledge of contracting language and principles of negotiation.
• Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
• Has a strong negotiation skills (negotiate favorable terms while balancing implications such as cost, quality, access with a strong understanding of reimbursement models).
• Has healthcare industry knowledge (foundational understanding of provider operations, insurance products, regulations and familiarity with VBC, FFS, capitation, and risk contracting).
• Has experience in contract management and compliance (skilled in drafting, reviewing, and managing terms).

Environmental Job Requirements and Working Conditions

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 19500 HWY 249, Suite 570 Houston, TX 77070.
• The total compensation target pay range for this role is $90,000 - $110,000 annually and represents our national target range for this role.