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Health Plan Contracting Manager

ADP
  • Sherman Oaks, California
    6 days ago

    Job Description

    Benefits:
    • 401(k)
    • 401(k) matching
    • Bonus based on performance
    • Company parties
    • Dental insurance
    • Employee discounts
    • Health insurance
    • Opportunity for advancement
    • Paid time off
    • Parental leave
    • Savings bank
    • Training & development
    • Vision insurance
    • Wellness resources
    About the Role:
    MedPOINT Management is looking for a driven and detail-oriented Health Plan Contracting Manager to join our team in Sherman Oaks, CA. In this pivotal role, you'll lead the negotiation and management of health plan contracts, playing a key part in shaping the financial and operational success of our organization. If you thrive in a fast-paced healthcare environment and have a passion for building strong payer relationships, we want to hear from you.


    Responsibilities:
    • Negotiate, review, and manage contracts with health plans, IPAs, and managed care organizations
    • Analyze contract terms, reimbursement rates, and fee schedules to ensure financial viability
    • Serve as the primary point of contact for health plan partners and payer relations
    • Monitor contract compliance and ensure adherence to regulatory and contractual obligations
    • Collaborate with internal teams including finance, operations, and legal to support contract implementation
    • Track contract renewals, amendments, and terminations to maintain an up-to-date contract repository
    • Identify opportunities to improve payer agreements and optimize reimbursement strategies
    Requirements:
    • 3+ years of experience in health plan contracting, managed care, or payer relations
    • Strong knowledge of managed care concepts, capitation, fee-for-service, and value-based contracts
    • Experience working with IPAs, MSOs, or physician groups preferred
    • Excellent negotiation, analytical, and communication skills
    • Proficiency in contract management software and Microsoft Office Suite
    • Bachelor's degree in Healthcare Administration, Business, or a related field
    • Highly organized, self-motivated, and able to manage multiple priorities simultaneously
    About Us:
    MedPOINT Management is a leading Independent Practice Association (IPA) management services organization based in Sherman Oaks, CA, dedicated to supporting physician groups and healthcare providers across Southern California. We are known for our commitment to operational excellence, innovative managed care solutions, and delivering outstanding service to both our provider partners and the patients they serve. Our team enjoys a collaborative, mission-driven culture where expertise is valued and professional growth is encouraged.

    Flexible work from home options available.

    Compensation: $160,000.00 - $185,000.00 per year




    Numbers & Facts

    LocationSherman Oaks, California
    IndustryManagement Consulting Services
    Company Size10,000 employees or more
    Websitehttps://jobs.adp.com/life-at-adp/

    About Company

    ADP powers the working world with comprehensive solutions that drive business success. Consistently named one of the "Most Admired Companies" by FORTUNE® Magazine, and recognized by Forbes® as one of "The World's Most Innovative Companies," ADP has over a half-million clients around the globe and 65 years of experience as one of the largest providers of human capital management solutions world-wide. At ADP, we believe that diversity fuels innovation. ADP is committed to equal employment opportunities regardless of race, color, genetic information, creed, religion, sex, sexual orientation, gender identity, lawful alien status, national origin, age, marital status, non-job related physical or mental disability, or protected veteran status. We support an inclusive workplace where associates excel based on personal merit, qualifications, experience, ability, and job performance.

    Skills

    • Analysis Skillsunmatched
    • Communication Skillsunmatched
    • Contract Analysisunmatched
    • Contract Managementunmatched
    • Contract Requirementsunmatched
    • Contract Reviewunmatched
    • Dental Insuranceunmatched
    • Detail Orientedunmatched
    • Fee Scheduleunmatched
    • Financial Operationsunmatched
    • Health Insuranceunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Healthcare Administrationunmatched
    • Healthcare Providersunmatched
    • Legal Support Skillsunmatched
    • Maintain Complianceunmatched
    • Managed Careunmatched
    • Microsoft Officeunmatched
    • Multitaskingunmatched
    • Negotiation Skillsunmatched
    • Organizational Skillsunmatched
    • Regulatory Complianceunmatched
    • Reimbursementunmatched
    • Savings Bankunmatched
    • Service Deliveryunmatched
    • Training/Teachingunmatched
    • Vision Planunmatched

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