Demo

Contracts Manager

Inland Empire Health Plan
Rancho Cucamonga, CA Full Time
POSTED ON 1/24/2025
AVAILABLE BEFORE 11/7/2025

Overview

What you can expect! 

 

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

 

The Contracts Manager is responsible negotiation of contracts and Member specific letters of agreements including but not limited to negotiation of contract rates and terms, timely renewal of all contracts to ensure continued network participation, and any required amendments.  Communication with providers to address and assist with additional needs including all requests for rates increases. Research and follow up on all internal emails sent to the Contracting Department requesting contract/provider information; Supporting the Director of Provider Contracting and Provider Contracting Managers in all required or directed activities.

 

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

  • Competitive salary.
  • Hybrid schedule.
  • CalPERS retirement.
  • State of the art fitness center on-site.
  • Medical Insurance with Dental and Vision.
  • Life, short-term, and long-term disability options
  • Career advancement opportunities and professional development.
  • Wellness programs that promote a healthy work-life balance.
  • Flexible Spending Account – Health Care/Childcare
  • CalPERS retirement
  • 457(b) option with a contribution match
  • Paid life insurance for employees
  • Pet care insurance

Key Responsibilities

  • Negotiate and prepare Provider agreements, including schedule renewals and amendments. Ensure that all documentation required for the contract is received timely.
  • Negotiate and prepare Member specific letters of agreement and ensure to maintain letter of agreement regulatory timeliness requirements.
  • Partner with Actuarial Services in developing various payment methodologies and analyzing rate proposals for providers. Perform and monitor on-going financial analysis of contract performance.
  • Work with Contracts Administration dyad partner to ensure accuracy of the contracts management system and that contract inflow and outflow is being maintained.
  • Work closely with other departments to strengthen relationships with network providers, including UM, Hospital Relations, Special Programs, Provider Relations and Network Development.
  • Act as first point of contact for all provider contracting matters. Manage and control the contractual relationship with providers.
  • Monitor provider contracts to ensure terms and conditions are met. Create, negotiate and incorporate contract amendments, renegotiating the contract to accommodate scope changes or changes in organization requirements.
  • Partner with Configuration department to ensure that all reimbursement methodology is supported by system capabilities.
  • Maintain a thorough working knowledge of IEHP products, policies and procedures, contract requirements, and interprets this information to contracted providers.
  • Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
  • Qualifications

    Education & Requirements 

    • Three (3) years of experience in a Managed Care environment, emphasis on Provider contracting. A minimum of two (2) years of direct experience in Provider contracts
    • Bachelor’s degree from an accredited institution required
      • In lieu of required degree, a minimum of four (4) years of additional relevant work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above.

    Key Qualifications

    • Must have a valid California Driver's License
    • Thorough knowledge of contracting structures and payment methodologies preferred
    • Intermediate understanding and broad application of principles, theories, concepts, practices, and standards in contract negotiation strategies and techniques
    • Provider contracting and analytical skills with emphasis on time management, financial analysis, and problem solving
    • Microcomputer applications (Microsoft Word and Excel required) for use in all aspects of an office environment
    • Excellent communication, interpersonal and organizational skills

     

    Start your journey towards a thriving future with IEHP and apply TODAY!

    Work Model Location

    This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA

    Pay Range

    USD $30.72 - USD $39.94 /Hr.

    Salary : $31 - $40

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Contracts Manager?

    Sign up to receive alerts about other jobs on the Contracts Manager career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $127,075 - $172,051
    Income Estimation: 
    $171,293 - $224,877
    Income Estimation: 
    $95,070 - $132,417
    Income Estimation: 
    $127,075 - $172,051
    Income Estimation: 
    $171,293 - $224,877
    Income Estimation: 
    $95,070 - $132,417
    Income Estimation: 
    $119,358 - $155,254
    Income Estimation: 
    $184,684 - $245,380
    Income Estimation: 
    $73,352 - $97,055
    Income Estimation: 
    $91,406 - $117,952
    Income Estimation: 
    $95,070 - $132,417
    Income Estimation: 
    $61,576 - $80,866
    Income Estimation: 
    $73,352 - $97,055
    Income Estimation: 
    $95,070 - $132,417

    Sign up to receive alerts about other jobs with skills like those required for the Contracts Manager.

    Click the checkbox next to the jobs that you are interested in.

    • Contract Compliance Skill

      • Income Estimation: $127,155 - $203,371
      • Income Estimation: $139,100 - $185,998
    • Contract Lifecycle Management Skill

      • Income Estimation: $139,100 - $185,998
      • Income Estimation: $147,129 - $184,614
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Inland Empire Health Plan

    Inland Empire Health Plan
    Hired Organization Address CA Full Time
    Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring ...
    Inland Empire Health Plan
    Hired Organization Address CA Full Time
    Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring ...
    Inland Empire Health Plan
    Hired Organization Address Rancho Cucamonga, CA Full Time
    Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring ...
    Inland Empire Health Plan
    Hired Organization Address Rancho Cucamonga, CA Full Time
    Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring ...

    Not the job you're looking for? Here are some other Contracts Manager jobs in the Rancho Cucamonga, CA area that may be a better fit.

    Contracts Administrator

    Larry Methvin Installation Inc., Ontario, CA

    VP, Contracts

    jobbot, Temecula, CA

    AI Assistant is available now!

    Feel free to start your new journey!