Job Information
Central California Alliance For Health Senior Provider Services Contracts Analyst, Scotts Valley, CA in Scotts Valley, California
412622BR
Auto req ID:
412622BR
Company:
Central California Alliance For Health
Job Code:
Analyst_ _Analyst
Job Description:
Location: Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California
The Senior Provider Services Contracts Analyst will manage the full lifecycle of provider contracts, ensuring legal compliance, conducting research, serving as a subject matter expert, providing training on contracting processes, and overseeing system administration and data synthesis for the Provider Services Contracts Team
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Provider Services Contracts Manager, this position:
Processes and tracks routine to complex provider contracts from creation through final execution, ensures legal and regulatory compliance, and conducts related research
Acts as a subject matter expert and resource to Alliance staff and other stakeholders regarding contracting processes and procedures, and provides training to other analysts and Alliance staff
Implements, manages, and serves as system administrator for Provider Services Contracts Team systems and synthesizes data to produce reports
Assists Provider Services Contracts Manager with program activities and special projects
THE IDEAL CANDIDATE
Strong experience in Medicare contracting is essential, particularly for this senior-level position, with the capability to cross-pollinate knowledge within the team
Proficient in processing and tracking provider contracts from initiation to final execution, handling both routine and complex agreements.
Ensures adherence to legal and regulatory compliance standards and conducts pertinent research.
Acts as a key resource and subject matter expert on contracting processes and procedures for Alliance staff and other stakeholders.
Provides training to other analysts and staff members, enhancing organizational knowledge and skills in contracting.
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description, and list of requirements click here (https://thealliance.health/wp-content/uploads/Senior_Provider_Services_Contracts_Analyst.pdf)
Knowledge of:
The principles and practices of contract negotiation
The methods, tools and techniques associated with contract development, review, implementation, and management
Legal terminology related to contract administration
Knowledge of Healthcare related contracts
Medicare contracts and Medicare related regulations and processes, if assigned to Medicare contract activities
Some knowledge of the principles, practices and issues related to the Medicare Dual Special Needs Plan (D-SNP), if assigned to Medicare contract activities
Some knowledge of value-based contracting, such as pay-for-performance, capitation and population-based, shared savings, and at-risk contracts
Ability to:
Independently negotiate contract provisions within the scope of assigned authority
Independently prepare, proofread and edit contracts
Understand, interpret and apply contract language, complex laws, legislative and regulatory directives, policies, standards, and guidelines
Demonstrate strong analytical and research skills, identify and troubleshoot issues, identify alternative solutions, and make recommendations for action
Learn and apply Medi-Cal and Medicare specific regulations and processes to contract activities
Learn and apply the principles, practices, and issues related to the Medicare Dual Special Needs Plan (D-SNP)
Education and Experience:
Medi-Cal Assignment
Bachelor’s degree in Business, Legal Studies, Healthcare or a related field or possession of a Paralegal Certificate
A minimum of five years of experience negotiating and processing contracts from creation through final execution in a healthcare environment (a Master’s degree may substitute for two years of the required experience; a J.D. degree may substitute for three years of the required experience); or an equivalent combination of education and experience may be qualifying.
Medicare Assignment
Bachelor’s degree in Business, Legal Studies, Healthcare or a related field or possession of a Paralegal Certificate
A minimum of five years of experience negotiating and processing contracts from creation through final execution in a healthcare environment, including a minimum of two years of experience negotiating and processing Medicare contracts from creation through final execution;(a Master’s degree may substitute for two years of the general healthcare environment experience; a J.D. degree may substitute for three years of the general healthcare environment 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 after the pandemic 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.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Santa Cruz County Pay Range
$74,561.62—$119,308.80 USD
Merced County Pay Range
$67,851.34—$108,576 USD
Monterey County Pay Range
$74,561.62—$119,308.80 USD
Compensation Range
$63,379.21—$119,308.80 USD
Mariposa County Pay Range
$67,851.34—$108,576 USD
San Benito County Pay Range
$74,561.62—$119,308.80 USD
OUR BENEFITS
Medical, Dental and Vision Plans
Ample Paid Time Off
12 Paid Holidays per year
401(a) Retirement Plan
457 Deferred Compensation Plan
Robust Health and Wellness Program
Onsite EV Charging Stations
ABOUT US
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
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 members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet (https://thealliance.health/about-the-alliance/fact-sheet/) .
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer
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.
Position Title:
Senior Provider Services Contracts Analyst, Scotts Valley, CA
Job Category:
Analyst
Minimum Education Required:
Bachelors
City*:
Scotts Valley
Additional Qualifications/Responsibilities:
Bachelor’s degree in Business, Legal Studies, Healthcare or a related field or possession of a Paralegal Certificate
State*:
California