Contract Manager

Full-time

Golden Care

The Contract Manager leads Golden Care's contracting and outreach operations across multiple programs, including CalAIM, HCBS, SCRC, SDRC, and future contracts. This role oversees referrals, caregiver onboarding, scheduling, visit verification, and compliance tracking for all contracted services. The Contract Manager ensures timely referral processing, accurate data entry in WellSky, and effective communication with families, caregivers, referral partners, and program representatives. This position requires strong leadership and organizational skills and the ability to manage multiple priorities in a fast-paced environment. Key Responsibilities

Manage and track incoming referrals across multiple contracted programs
Oversee creation and maintenance of accurate client and caregiver profiles in WellSky
Direct onboarding, scheduling, and care plan setup after authorization approval
Monitor referral and authorization status to ensure timely service initiation
Oversee daily Electronic Visit Verification (EVV) and resolution of flagged visits
Maintain accurate, complete, and audit-ready documentation
Serve as the main point of contact for program representatives and referral partners
Communicate with caregivers, families, and referral sources regarding services and updates
Track and report data related to referrals, onboarding, and program activity
Identify workflow issues and implement improvements
Support the pursuit and setup of new program contracts

Compliance & Documentation

Ensure all records meet program and regulatory requirements
Maintain audit-ready documentation for referrals, authorizations, and services
Monitor authorization expirations and ensure timely renewals
Adhere to HIPAA and data privacy standards

Performance Expectations

Timely processing of referrals and authorizations (target: 24 to 48 hours)
Accurate data entry and system compliance
Completion of EVV tasks daily
Timely onboarding and activation of caregivers and clients
Contract programs meet all reporting and audit requirements

Qualifications

3 to 5 years of experience in healthcare administration, contracts, or outreach roles
Experience with WellSky, AlayaCare, HHAeXchange, or similar systems preferred
Proficiency in Microsoft 365 and Excel
Strong organizational, multitasking, and time management skills
Excellent verbal and written communication skills
Detail-oriented with strong compliance awareness
Ability to work independently and lead collaboratively

Preferred

Experience with CalAIM, HCBS, SCRC, SDRC, or similar programs
Familiarity with Medicaid waiver or home care services
Bilingual (Spanish, Arabic, Mandarin, or Tagalog)

How to Apply Visit to learn more about Golden Care. Golden Care is an equal opportunity employer.

Apply

Vacancy posted 1 day ago

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