Provider Services Contracts Analyst

Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve over 377,000 members in Santa Cruz, Monterey and Merced counties.

The Alliance works in partnership with our contracted providers to promote prevention, early detection and effective treatment, and improve access to quality health care for those we serve. This results in the delivery of innovative community-based health care services, better medical outcomes and cost savings.

We are 500-ish employees who are all working towards our vision of Healthy People, Healthy Communities by living out our values of Equity, Integrity, Improvement and Collaboration in the pursuit of our mission of accessible, quality health care guided by local innovation.

We have an opportunity to join the Alliance as a Provider Services Contracts Analyst in the Provider Services Department. There is one position that can be based out of any of our three offices (Scotts Valley, CA; Salinas, CA; Merced, CA) or remotely in California.

WHAT YOU’LL BE RESPONSIBLE FOR
Reporting to the Provider Services Contracts Manager, you will:
• Process and track routine provider contracts from creation through final execution and ensure legal and regulatory compliance
• Conduct research and analysis on contract terms and language to evaluate solutions and alternatives
• Collaborate with individual stakeholders to provide guidance on Alliance contracting policies and procedures
• Collect and synthesize data to produce reports for external auditors and state agencies
• Assist with program activities and special projects

ABOUT THE TEAM
The Provider Services Department is a professional, collaborative and fun group dedicated to their mission of promoting member wellness through the availability of qualified, accessible, and responsive providers. The Provider Services Contracts team manages our agreements with our providers. We ensure that providers are aware of their legal requirements and that the Alliance is meeting its contractual requirements for both the Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC).

THE IDEAL CANDIDATE WILL
• Have some experience facilitating contract negotiations
• Embody confidence in leading discussions with providers and internal stakeholders
• Be a team player; with the ability to be flexible amid shifting priorities
• Balance working both independently and collaboratively
• Exhibit sound judgement and excellent customer service

WHAT YOU’LL NEED TO BE SUCCESSFUL
To read the full position description, and list of requirements please visit our website

Knowledge of:
o Legal terminology and standard contracting agreement structure
o Legislative and regulatory directives
o Principles and practices of customer service
o Principles and practices of contract negotiation
o Methods, tools and techniques associated with contract development, review, implementation, and management

Ability to:
o Independently negotiate routine contract provisions within the scope of assigned authority
o Ability to exercise sound judgment and discretion and recognize issues requiring escalation to management
o Ability to understand, interpret, and apply contract language legislative and regulatory directives, policies, standards, and guidelines
o Ability to demonstrate strong analytical and research skills, identify and troubleshoot issues, identify alternative solutions, and make recommendations for action

Education and Experience:
o Bachelor’s degree in Business, Legal Studies, Healthcare or a related field or possession of a Paralegal Certificate
o A minimum of three years of experience in health services, managed care, contracting, or government assistance programs which included experience supporting or performing contract negotiations (a Master’s degree may substitute for two years of the required experience; a J.D. may substitute for three years of the required experience); or an equivalent combination of education and experience may be qualifying

OTHER DETAILS
• While this position is connected to one of our Alliance offices, we are in hybrid remote/in-office work environment right now and we anticipate that the interview process will take place remotely.
• Our Alliance office locations have officially re-opened as of May 2, 2022 and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
• Based on the nature of work, this position may require onsite presence, which is dependent on business need. Details about this can be reviewed during the interview process.

COVID-19 Vaccine Requirement: At this time, this position requires vaccination or regular testing upon office entry. Fully vaccinated and boosted is defined as receipt of the second dose in a 2-dose series (ex: Pfizer & Moderna vaccines) OR receipt of a single-dose vaccine (ex: Johnson & Johnson); AND receipt of the booster (if eligible); AND a 2-week period having passed since the administration of the last vaccine dose. If you state that you are vaccinated, proof of vaccination must be submitted at time of hire.

OUR BENEFITS
• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 11 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations
• And many more

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

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