Contracts Specialist

Contracts Specialist

Under supervision, the Contracts Specialist is responsible for the direction, development, and implementation of all contracts aligned with organizational needs. This role also manages, oversees, and monitors contractual relationships and compliance with contracted community providers, as well as support and administrative vendors.

We are committed to providing a comprehensive network of senior services focused on preserving dignity, fostering independence, and enabling older adults to remain safely at home while staying actively engaged with their families and communities.

Our interdisciplinary approach ensures care that addresses the medical, social, physical, spiritual, and cultural needs of those we serve. We strive to deliver high-quality, affordable, and coordinated care that enhances quality of life and supports independent living.

Responsibilities

• Serve as a liaison to oversee all contracted service agreements and collaborate with contracted providers and service entities (administrative and support).
• Partner closely with the Medical Director to recruit qualified specialist physicians for the provider network.
• Coordinate contracting terms, negotiations, and activities between the organization and contractors.
• Conduct ongoing monitoring to ensure compliance with credentialing standards and identify any concerns related to professional conduct or performance.
• Prepare all contractor agreements (provider and administrative/support) for final approval and execution by leadership.
• Perform additional duties as assigned to support contractual operations and organizational goals.

Qualifications

• Education: Bachelor's degree (BA/BS) preferred
• Licensure/Certifications: Valid driver's license required
• Experience: Minimum of 3 years of experience in healthcare contracting within a managed care environment

Knowledge & Skills:

• Strong understanding of medical contracting, including reimbursement methodologies, compliance requirements, and contract structures
• Experience with Medi-Cal, Medicare, Medicare Advantage, and commercial contracting models
• Excellent verbal, written, organizational, and interpersonal skills
• Strong analytical capabilities, including basic financial analysis
• Proficiency in Microsoft Office Suite (Word, Excel, Access) and database/tracking systems

Work Environment

• Onsite and field-based (contractor sites and administrative offices)
• In-person role

Benefits

• Medical, Dental, and Vision Insurance
• 401(k) with employer match
• Paid Time Off and Holidays
• Career Growth and Development Opportunities
• Additional voluntary benefits (e.g., pet insurance)

Actual compensation is determined based on factors such as experience, skills, education, and business needs. Salary ranges are subject to change and reflect the organization's commitment to offering competitive and equitable pay.