The Managed Care Contracts Manager (Managed Care Specialist 4) is responsible for initiating, negotiating, overseeing, processing, and implementing managed care payor and provider contracts with health plans, insurance companies, and downstream providers. The incumbent also serves as a resource for UC Davis Health staff and others to provide information and advice on the terms of the contracted agreements. Additionally, this position evaluates and implements changes in federal and state law and University policy related to health care contracting, and provides information and training to UC Davis Health staff in the preparation, negotiation, and administration of managed care contracts. The Managed Care Contracts Manager will work independently and proactively with decision-making responsibility under the general consultative direction of the Director of UC Davis Health Contracts and in collaboration with internal constituents including Claims Payment, Risk Management, and Legal Affairs.REQUIRED--Demonstrated experience and knowledge pertaining to managed health care programs and contracts, commercial and government products and contracts, finance/analytics, and health care and managed care operations. --Demonstrated experience composing, preparing, and negotiating complex managed care payor and provider contracts with in-depth experience negotiating hospital, medical group, ancillary, pharmacy and downstream agreements in a health care delivery or payor setting. --Demonstrated ability to effectively communicate both orally and in writing, with a wide variety of people in the private sector, public sector, government, non-profit organizations, and educational institutions, as well as with internal faculty and staff at UC Davis Health. --Demonstrated ability to make sound decisions and recommend appropriate strategies to health system leadership based upon knowledge and data. --Bachelor's Degree in business or related field and/or an equivalent combination of education, training, and experience. --Operating knowledge and skills necessary to utilize business applications such as MS Word, Excel, Acrobat, and the Internet. PREFERRED--Financial modeling skills with expertise in medical data, spreadsheets and database applications.--Prior work experience in an academic health care system or community-based health care system and knowledge of academic or community-based policies, procedures and issues. --Demonstrated knowledge of pertinent managed care policies and procedures falling within the scope of the position.SPECIAL REQUIREMENTS - THIS POSITION MAY BE SUBJECT TO A CRIMINAL BACKGROUND INVESTIGATION, DRUG SCREEN, LIVE SCAN FINGERPRINTING, MEDICAL EVALUATION CLEARANCE, AND FUNCTIONAL CAPACITY ASSESSMENT.
Internal Number: 053712
About University of California Davis Medical Center
At the end of 2015, we launched a comprehensive and inclusive process to tap into the broad, diverse knowledge of our entire UC Davis Health community to stimulate new and unique ideas for our next strategic plan.Throughout 2016, hundreds of members of our UC Davis Health family, as well as external friends and partners, took part in conversations and provided valuable input into charting a long-term course for our future that will continue the momentum underway to solidify our position as a top-tier health care organization.With your valuable input and talents, I am excited to launch our six new strategic plan goals. Over the next few years, together we will:Lead Person-Centered Care in the best way, at the best time, in the best place, and with the best teamReimagine Education by cultivating diverse, transdisciplinary, life-long learners who will lead transformation in health care to advance well-being and equity for allAccelerate Innovative Research to improve lives and reduce the burden of disease through the discovery, implementation and dissemination of new knowledgeImprove Population Health through the use of big data and precision healthTransform Our Culture by engaging eve...ryone with compassion and inclusion, by inspiring innovative ideas, and by empowering each otherPromote Sustainability through shared goals, balanced priorities and investments in our workforce and in our communityAt a time when our industry is experiencing some of the most formidable changes ever, these are bold aspirations that will anchor us and provide us with clarity of purpose and a path forward. I am fully confident that we will achieve great success knowing we have a solid plan and areas of focus to guide us.I thank everyone who participated in the planning process for their great input and their dedication to our future success.