Contract Manager

Taking care of people is at the heart of everything we do and we start by taking care of you our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful each and every day. It’s having support for your mental physical financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference who enjoys a challenge and above all if you’re someone who cares there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

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Contract Manager

PRIMARY PURPOSE : To negotiate fee-for-service hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to expand and develop provider network.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Negotiates fee-for-service hospital and medical group contracts for multiple lines of business in the managed care markets.

• Analyzes market data and financial models.

• Prepares negotiates and administers provider contracts.

• Develops and expands provider participation within the network.

• Maintains provider participation within the network.

• Monitors provider performance; implements corrective action plans.

• Identifies current issues and probable future issues; guides staff through resolution.

• Documents contracts; updates contracts as changes occur.

• Coordinates customer inquiries.

ADDITIONAL FUNCTIONS and RESPONSBILITIES

• Performs other duties as assigned.

• Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing Bachelor's degree with major in Health Services or Hospital Administration from an accredited college or university preferred.

Experience Four (4) years of progressive provider network contract negotiation experience or equivalent combination of education and experience required. Experience in a healthcare management environment including provider contracting servicing and benefit interpretation preferred. Two (2) years supervisory experience preferred.

Skills & Knowledge

• Strong project management skills

• Excellent negotiation skills

• Excellent oral and written communication including presentation skills

• PC literate including Microsoft Office products

• Leadership/management/motivational skills

• Analytical and interpretive skills

• Strong organizational skills

• Ability to work in a team environment

• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT When applicable and appropriate consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment troubleshooting problem solving analysis and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical : Computer keyboarding travel as required

Auditory/Visual : Hearing vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions duties or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set level of experience and cost of specific location. For the jurisdiction noted in this job posting only the range of starting pay for this role is ( $45790 - $65000) . A comprehensive benefits package is offered including but not limited to medical dental vision 401k and matching PTO disability and life insurance employee assistance flexible spending or health savings account and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description consider applying for it anyway! Sedgwick is building a diverse equitable and inclusive workplace and recognizes that each person possesses a unique combination of skills knowledge and experience. You may be just the right candidate for this or other roles.