Contract Manager

NATIONAL LEADERS IN PEDIATRIC CARE
Ranked among the top 10 pediatric hospitals in the nation, Children’s Hospital Los Angeles (CHLA) provides the best care for kids in California.

Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.

The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.

Join a hospital where the work you do will matter—to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.

It’s Work That Matters.

Responsible for managing the process for negotiating and evaluating payor contracts with health plans, medical groups, independent practice associations (IPA), hospitals/health care systems, government programs and other payors, as assigned. Will coordinate the collaboration with several departments including, compliance, clinical operations and leadership, decision support, patient finance services and other leaders as it relates to contract language and implementation. Serves as primary organizational contact during contract negotiations and manages relationship with external stakeholders. Contract Manager will lead the process to resolve contract related issues in a timely manner. Responsible for modeling and analyzing cost and utilization data to develop rate proposals. Should possess a thorough understanding of contractual provisions, related to both financial and operational issues, and have the ability to present contractual language recommendations to CHLA leader. Should be able to provide guidance to Contract Specialist.

Four years’ experience in healthcare contract negotiation. Must have prior hospital contracting experience. Ability to communicate effectively and professionally, verbally and written, with external/internal clients. Must be able to prioritize workload and function in a deadline-driven environment; plan, organize, and coordinate appropriate workload in conjunction with other team members. Strong analytical/deductive, mathematical analysis and problem solving skills. Proficient in data manipulation and spreadsheet development. Efficient in using Microsoft Office suite including Excel, PowerPoint, and Word. Prior negotiation experience and proven negotiation skills. Ability to interpret contractual language and regulatory requirements. Familiarity with various reimbursement methodologies, including per diems, case rates, and stop-loss. Ability to work independently and effectively under pressure to meet deadlines.

Bachelor’s Degree or equivalent combination of education and relevant experience required; advanced degree (JD, MBA, MHA) preferred.

Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you’ll find an environment that’s alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures – for our patients, as well as for you and your career!

CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.

At Children’s Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. Your race and ethnicity, religion, age, gender, sexual orientation and ability make you uniquely you – and that is just who we are looking for! So, bring the best of yourself and contribute to our mission in your own unique way.

Diversity inspires innovation. Our experiences, perspectives and backgrounds allow us to better serve our patients. As an equal opportunity employer, we celebrate the differences of our team members.