Mgr, Ohio Market Contracting

CareSource

3d•$83,000 - $132,800

About The Position

The Manager, Ohio Market Contracting is responsible for leading specialized contracting efforts, handle unique contracting situations, including facilitating contracting changes and negotiations. Essential Functions: Responsible for tracking and trending, inventory and priorities Assists with the development and evolution of the team’s strategic direction, annual goals and objectives; recommends new processes and changes for increased department productivity Establish and maintain strong working relationships with key internal business partners Develop and report on key accomplishments and issues to upper management Lead cross-functional workgroups for special priority contracts, create and manage work plans, and facilitate the removal of barriers to ensure timely implementation of key contracts and providers Conduct project team meetings to establish and execute on detailed project plans Report on key initiatives and accomplishments to leadership, including PowerPoint report outs Ensure proper documentation and SOPs are followed by staff Implement and maintain key metrics for staff performance Manage day to day operations of direct reports, to include hiring decisions, performance management, training and staff development Participate in network provider meetings, attend key committees, subcommittees, and/or workgroups as necessary Manage multiple projects, collect and analyze data and disseminate to appropriate departments as necessary Ensure appropriate documentation of interactions and projects by all team members Coordinate contract language change requests to ensure template accuracy and utilization Perform any other job duties as requested

Requirements

Bachelor’s Degree in Business Administration or related field, or equivalent years of relevant work experience is required
A minimum of three (3) years of progressive experience in health care or managed care is required
Experience in provider relations or contracting is required
Proficient with Microsoft Office to include Word, Excel and PowerPoint
Excellent written and verbal communications skills
Ability to develop, prioritize and accomplish goals
Detail oriented
Strong interpersonal skills and high level of professionalism
Effective listening and critical thinking skills
Effective problem solving skills with attention to detail
Ability to work independently and within a team
Strong negotiation skills
Excellent leadership skills
Ability to create and maintain excellent working relationships
Excellent research and analytical skills
Business Analysis skills
Valid driver’s license is required; employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if you have started employment in this position, your employment in this position will be terminated
To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified. CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.

Nice To Haves

Previous management experience is preferred
Post-acute provider experience is preferred

Responsibilities

Responsible for tracking and trending, inventory and priorities
Assists with the development and evolution of the team’s strategic direction, annual goals and objectives; recommends new processes and changes for increased department productivity
Establish and maintain strong working relationships with key internal business partners
Develop and report on key accomplishments and issues to upper management
Lead cross-functional workgroups for special priority contracts, create and manage work plans, and facilitate the removal of barriers to ensure timely implementation of key contracts and providers
Conduct project team meetings to establish and execute on detailed project plans
Report on key initiatives and accomplishments to leadership, including PowerPoint report outs
Ensure proper documentation and SOPs are followed by staff
Implement and maintain key metrics for staff performance
Manage day to day operations of direct reports, to include hiring decisions, performance management, training and staff development
Participate in network provider meetings, attend key committees, subcommittees, and/or workgroups as necessary
Manage multiple projects, collect and analyze data and disseminate to appropriate departments as necessary
Ensure appropriate documentation of interactions and projects by all team members
Coordinate contract language change requests to ensure template accuracy and utilization
Perform any other job duties as requested