Manager, Global Risk Health Plan Contracts

Manager, Global Risk Health Plan Contracts

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.

The Manager, Global Risk Health Plan Contracts is responsible for leading the full lifecycle of health plan contract activity, from initial term negotiation to amendment execution, on behalf of the organization's global risk managed care programs. This role serves as the primary point of contact for direct contracting with health plans and sub-contracted IPAs and operates at the intersection of contract strategy and financial analysis.

Minimum Requirements

• Bachelor's degree in Healthcare Administration, Business, or a related field required, Alternatively, a high school diploma or equivalent with a minimum of 7 years of relevant experience.
• Minimum of 5 years of progressive experience in health plan contracting, managed care, or payor relations within a health plan, and/or medical group/IPA.
• Minimum of 5 years of experience contracting directly with health plans and/or medical group/IPA, including negotiating and executing plan-to-plan agreements.
• Minimum of 5 years of experience with government programs, including Medicare Advantage and Medi-Cal/Medicaid.
• Supervisory or lead experience in a contracting or managed care environment preferred.

Compensation

$116,064.00 - $145,080.00 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.