Contract Manager

Brown & Toland Oakland , CA 94604

Posted 4 months ago


JOB TITLE: Contract ManagerFLSA STATUS: Exempt

REPORTS TO: Director, Network ManagementDEPARTMENT: Provider Contracting

DATE: May 2015JOB GRADE: 15 JOB CODE: 502


Responsible for maintaining Physician Network contracting efforts. Specifically, the position is responsible for BTMG's health care arrangements with both Primary and Specialty physicians and physician groups. Primary duties include contract analyses, negotiations and contributing to operational implementation.


This position does not supervise anyone.


  • With moderate supervision, effectively conducts negotiations with network physicians and physician groups, achieve contracting strategy and achieve budgeted results on a timely basis:

a) Conducts review of historical/potential financial performance of the contracts.

b) Knowledge of CPT, ICD-9 and 10, DRG, HCPCS, RBRVS, and Provider Capitation is essential.

c) Negotiate, recommends and maintains complex provider agreements and relationships.

d) Must be highly organized with strong analytical and problem solving skills.

e) Detail oriented with ability to manage projects from inception to completion.

f) Researches the effect of contract and financial terms with operating departments, when applicable.

g) Conducts and/or defines negotiations of physician contracts, and Letters Of Agreement (LOA).

h) Ensures appropriateness of final documentation in accordance with HMO contracting guidelines (if applicable)

i) Work with other departments to ensure operational concerns are addressed in new contracts at the request of the Contracts Operations Manager.

  • Drafts and implements accurate and timely written communication pieces regarding new and renewed physician payer arrangements and to appropriate departments, including:

a) Communicates projected results of the finalized arrangement for presentation to operating, marketing and administrative departments as appropriate.

b) Conducts physician market research and provides market descriptions as needed for physician network expansion efforts.

c) Solicits information and feedback from operating departments regarding, implementation and performance of contracts as required.

  • Identifies and implements BTMG strategies and contracting methodologies to stabilize or decrease expenses.

  • With minimal supervision, develop successful relationships with Provider Relations staff, and physicians and their office staff and act as liaison for resolution of problems related to providers including reimbursement and contracting by proactively identifying and responding to problems in a timely, accurate and professional manner.

  • Under minimal supervision, supports preparation of material related to network contract negotiations for final presentation and recommendation to VP, Sr. VP, CFO, President and physician members of the Contracting and Finance and or Physician Compensation Committees as assigned.

  • Under minimal supervision, represent Network Management Department on varying internal committees, as assigned.

  • Communicates positive marketing information regarding BTMG client services, capabilities and developments to contracted network providers.

  • Under moderate supervision, oversee preparation of financial analyses related to financial and strategic decisions impacting BTMG' Network goals and initiatives.

  • Conducts ongoing departmental in-service/education aimed at elevating performance of and cross-training staff so as to provide adequate ability for department to continue optimal functioning in the absence of one or more staff members.

  • Under minimal guidance, directs decisions of other company departments regarding payment and authorization determination, and benefit interpretation relevant to physician contract arrangements.

  • Completes projects within scheduled time frames and within established standards.

  • Sets the example for an open and receptive attitude with employees.

  • Performs all office functions accurately within reasonable limits based upon established needs and specified deadlines.

  • Updates the status of activities through use of department tracking tool.

  • Accepts and performs other related duties and responsibilities as required.


  • Job related Knowledge, Skills, and Abilities, including Documentation, if pertinent.

Strong problem-solving, advanced communication and analytical skills required to develop positive working relationships both internally and externally. Well developed negotiating skills required. Training and Education skills strongly preferred. Financial analysis skills and contracting regulatory skills strongly preferred. Strong written communications skills and strong Excel spreadsheet skills are required. Ability to multi-task and manage multiple projects simultaneously is required.

  • Creative, Problem-solving, and Innovation Skills.

  • Customer Focused and Communication Skills.


  • Advanced knowledge of healthcare, managed care systems, HMO marketplace and market trends

  • Advanced knowledge of contract related activities including: negotiations, legal, regulatory, operational, finance and relationship management

  • BA or equivalent education and experience required; Contracting experience mandatory; basic financial analysis experience required


  • Minimum of three years of contracting experience in responsible positions in health care contracting necessary to have acquired and demonstrated skills and abilities listed above or the approved equivalent

  • Well-developed negotiating skills required

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Local Contract Specialist

CGI Group Inc.

Posted 1 week ago

VIEW JOBS 10/10/2019 12:00:00 AM 2020-01-08T00:00 Position Description: CGI Federal's Housing Compliance team that partners with a local public housing authority and the U.S. Department of Housing and Urban Development (HUD) to assist in the provision of affordable housing has an opening for a Local Contract Specialist (LCS). This is an opportunity to join an energetic team with a collaborative management group and work with affordable housing owners and management companies within an assigned portfolio of properties. New team members receive in-depth training to prepare them for their role. Additional training and professional development opportunities are also available, both for the affordable housing industry and general business skills. The Local Contract Specialist (LCS) is responsible for the timely and accurate completion of specified core tasks for a portfolio of multi-family housing contracts subsidized under HUD's Project Based Section 8 Housing program. Directly performs specified core tasks as part of a contract administration case management team. The LCS works closely with property owners to ensure compliance pursuant to HUD policy. The Local Contract Specialist maintains accurate and complete customer files, logs and schedules. Your future duties and responsibilities: The Contract Specialist is responsible for managing a portfolio of assisted housing contracts to ensure the accurate and timely completion of all required tasks, which includes the following: 1. Ensure 100% of onsite reviews are properly scheduled and performed in compliance with contractual and client requirements. 2. Effectively compile and writes Management and Occupancy Review (MOR) reports detailing specific findings, criteria and corrective actions in the monitoring of project compliance in the following areas : a) Marketing and Tenant Selection b) Leasing and Occupancy c) Rent Determination and Subsidy Request d) Management of Maintenance Program e) Response to Safety Concerns f) Management of Tenant Relations g) Review of Fair Housing/EEOC policies and procedures 3. Timely and accurate follow-up to ensure adequate responses to close the MOR report. 4. Establish and maintain good relations with owners, residents and their representatives, neighborhood groups and local governments. 5. Respond fully and promptly to inquiries and dispatches from Contract Specialists, Quality Assurance personnel, Finance and Reporting personnel and Customer Contact personnel. 6. Maintain complete and detailed files and provide the Team Leader and/or Manager with data and records requested in a timely manner. 7. Successfully complete all required training programs within prescribed period. 8. Participate in ensuring a fully functional contract administration case management system to meet 100% of the required deadlines and avoid contractual penalties. 9. Other duties as assigned based on business needs. Required qualifications to be successful in this role: * Demonstrated strong organizational and time management skills. * Familiarity with Microsoft Office, particularly Excel and Word. * Strong written and oral communication skills. * Desire to work in a team environment. * Proven ability to accurately and timely complete tasks within the established timelines and quality standards. * Proven ability to understand, interpret and apply written policies and procedures. * Strong customer service skills. * Must be able to travel approximately 50-75% * Learn from past experiences and apply to future circumstances. * Ability to multi-task, be self-motivated and proactive. Desired qualifications * Proficiency with Microsoft Office, particularly Excel and Word. * 3-5 years of experience performing tasks in a regulatory environment. * 3-5 years of experience working in subsidized/affordable housing industry #CGIFEDERALJOB Skills: * Business Acumen * Communication (Oral/Written) * Detail-oriented * Multi-tasking What you can expect from us: Build your career with us. It is an extraordinary time to be in business. As digital transformation continues to accelerate, CGI is at the center of this change—supporting our clients' digital journeys and offering our professionals exciting career opportunities. At CGI, our success comes from the talent and commitment of our professionals. As one team, we share the challenges and rewards that come from growing our company, which reinforces our culture of ownership. All of our professionals benefit from the value we collectively create. Be part of building one of the largest independent technology and business services firms in the world. Learn more about CGI at No unsolicited agency referrals please. CGI is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, ethnicity, ancestry, color, sex, religion, creed, age, national origin, citizenship status, disability, medical condition, military and veteran status, marital status, sexual orientation or perceived sexual orientation, gender, gender identity, and gender expression, familial status, political affiliation, genetic information, or any other legally protected status or characteristics. CGI provides reasonable accommodations to qualified individuals with disabilities. If you need an accommodation to apply for a job in the U.S., please email the CGI U.S. Employment Compliance mailbox at You will need to reference the requisition number of the position in which you are interested. Your message will be routed to the appropriate recruiter who will assist you. Please note, this email address is only to be used for those individuals who need an accommodation to apply for a job. Emails for any other reason or those that do not include a requisition number will not be returned. We make it easy to translate military experience and skills! Click here to be directed to our site that is dedicated to veterans and transitioning service members. All CGI offers of employment in the U.S. are contingent upon the ability to successfully complete a background investigation. Background investigation components can vary dependent upon specific assignment and/or level of US government security clearance held. CGI will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGI's legal duty to furnish information. CGI Group Inc. Oakland CA

Contract Manager

Brown & Toland