Contracts Manager

Contracts Manager

Under broad supervision, the Contracts Manager is responsible for managing and strengthening Psynergy Programs relationships with county behavioral health departments, managed care organizations, and private partners. This position plays a key role in ensuring contract compliance, optimizing reimbursement processes, identifying new funding opportunities, and coordinating the successful development and implementation of contracts and service agreements.

The Contracts Manager uses a high degree of discretion and independent judgment to manage external partnerships and internal coordination related to contracts, billing support, and funding development. The position will work closely with executive leadership, finance, clinical leadership, and external partners to ensure Psynergy Programs services are effectively represented and supported through sustainable funding sources.

This position requires strong knowledge of California behavioral health funding structures, county contracting processes, billing methodologies, and provider credentialing requirements. The Contracts Manager will also support the organizations strategic growth by identifying and coordinating new funding opportunities and managing the proposal development process.

Essential Duties

Contract Management and County Relations (60%)

• The primary responsibility of this position is the management, coordination and optimization of contracts with counties, managed care organizations, and private pay partners.
• Maintain and manage active contracts with counties, Kaiser Permanente, and private partners.
• Monitor Maximum Financial Obligation (MFO) levels across contracts and communicate updates to leadership.
• Track and maintain accurate records of provider types, billing codes, CPT codes, and service authorization requirements.
• Coordinate contract amendments, rate updates, and service scope changes.
• Serve as the primary liaison between Psynergy Programs and county contract administrators.
• Ensure contract compliance with county, state, and payer requirements.
• Maintain organized contract files including certification updates, policy documentation, and compliance records.
• Monitor contract performance including placement capacity, service utilization, and funding limits.
• Assist leadership with contract negotiations and implementation of new services.
• Business intelligence & growth new Funding Opportunities, Managed Care Development, Insurance

County Growth (20%)

• Identify and monitor new funding opportunities with managed care plans, county behavioral health departments, and private partners.
• Track emerging funding initiatives such as CalAIM, Behavioral Health Services Act (BHSA), managed care carve-ins, and specialty mental health programs.
• County intelligence manage a database with county budget for behavioral health services, understanding what providers counties contract with, and develop strategies for Psynergy to maximize county relationships and connect that to Psynergys bed growth opportunities
• Assist leadership in developing new partnerships with managed care plans and behavioral health networks.
• Conduct research on potential contract opportunities, new programs, and service expansions.
• Coordinate internal preparation for new service offerings and funding streams.
• Assist in developing presentations, service summaries, and partnership materials for potential payers.

Billing Support and Resolution of Payment Disputes (10%)

• Provide administrative and operational support to resolve billing disputes and reimbursement issues with counties and payers.
• Support in potential dispute resolution with counties
• Coordinate with finance and billing teams to investigate denied claims, payment delays, or billing discrepancies.
• Serve as a liaison between Psynergy billing staff and county or payer billing departments.
• Monitor billing compliance with county contract terms, provider types, and approved CPT codes.
• Assist with documentation required for payment resolution and reconciliation.
• Track patterns of billing issues and assist in developing solutions to improve reimbursement processes.

RFP / RFQ support (10%)

• Support and coordination of submission of Requests for Proposals (RFPs) and Requests for Qualifications (RFQs).
• Track proposal timelines, requirements, and submission deadlines.
• Coordinate internal departments to compile required documentation, certifications, and program descriptions.
• Assist in drafting sections of proposals including program descriptions, operational plans, and service summaries.
• Maintain a calendar of upcoming procurement opportunities across counties and managed care organizations.
• Organize proposal documentation for future submissions. General Assists, as needed, with other internal departments.
• Take on-call duties, as necessary.
• Acts as a Mandated Reporter and immediately reports suspected abuse, neglect, exploitation, or safety concerns in accordance with applicable laws and company policies.
• Consistently supports compliance with Psynergys Employee Conduct Policy by maintaining privacy and confidentiality, protecting organizational assets, acting with ethics and integrity, reporting non-compliance, avoiding potential and actual conflicts of interest, and adhering to applicable federal, state, and local laws, regulations, accreditations, and licensure requirements (where applicable) and to Psynergys policies and procedures.
• Models and reinforces ethical behavior in oneself and others in accordance with Psynergys policies and procedures; supports compliance initiatives; maintains confidentiality; admits mistakes; conducts business honestly; demonstrates consistency in words and actions; and follows through on commitments.
• Other duties and responsibilities as reasonably assigned.

Job Requirements

1. Education, License/Certification, and Work Experience

Bachelors degree in Business Administration, Healthcare Administration, Public Administration, or related field.

Minimum 35 years experience in behavioral health administration, county contracting, healthcare operations, or managed care relations.

Experience working with California county behavioral health systems strongly preferred.

Experience with contract management, RFP development, or payer relations preferred Strong computer proficiency including word processing, spreadsheets, and database management systems.

Familiarity with Electronic Health Record (EHR) systems and healthcare billing systems preferred.

Equivalent combinations of education and experience may be considered.

Must have and maintain a valid California drivers license and an acceptable driving record and age over 25 due to insurance requirements. Continued employment is dependent upon maintaining a good driving record.

Must possess, or be able to obtain, adult CPR and first-aid certification within 30 days of hire.

2. Preferred Qualities

Bachelors degree in health care administration, nursing, public administration, psychology or a related field

Eight years of direct care experience with individuals with mental illness

Spanish bilingual preferred due to client needs

3. Other Minimum Requirements

• Ability to read, analyze, and interpret documents such as safety protocols, operating instructions, maintenance procedures, and policy manuals.
• Capable of preparing routine reports and professional correspondence.
• Demonstrates the ability to communicate clearly and effectively, both verbally and in writing, including presenting information to groups of customers, employees, or stakeholders.
• Proficiency in performing basic arithmetic operations, including addition, subtraction, multiplication, and division, using whole numbers, fractions, and decimals.
• Exhibits strong analytical and problem-solving skills, including the ability to follow written, verbal, and visual instructions.
• Capable of evaluating and resolving issues involving multiple variables in both routine operations and emergency scenarios, using sound judgment and critical thinking.
• Working knowledge of Microsoft Office applications, including Word, Outlook, and Excel. Familiarity with electronic medical records (EMR) systems, as well as inventory management and database software.
• This job requires frequent bending, squatting, kneeling, climbing, reaching above shoulders, sitting, walking on inclines, standing, talking, hearing, and repetitive hand motions. Vision needs include close vision and focus adjustment. Occasionally required to lift, push, or pull up to twenty-five pounds.

4. Pre-Hire Requirements

Must be able to meet and receive a criminal records clearance as required by Title XXII, licensing regulations, including FBI and DOJ clearance. A health screening, by or under the direction of a physician, must have been performed not more than one year prior to employment or within seven (7) days after employment. Health screening must include TB clearance not more than one year prior to employment or within seven (7) days after employment. Must be physically able to assist clients and/or staff in the evacuation of the program facility in emergency situations. Must be able to administer first aid in an emergency situation.

Mon-Fri 8am-5pm

Psynergy Programs, Inc