Health Plan Contract Manager

Job Summary

The Health Plan Contract Manager is responsible for contracting healthcare services provided by Community Bridges, Inc. (CBI) with various payers and government entities. Key responsibilities include serving as the point of contact for internal inquiries, implementing contracting strategies, collaborating with internal departments, participating in payer Joint Operations Committee meetings, and ensuring legal review for contract recommendations.

Skills/Requirements

• Bachelor’s Degree in Business Administration or Healthcare Management, or a related field required. Master’s in Business Administration or Public Administration preferred.
• Two (2) or more years of leadership experience required. Five (5) or more years of experience in contract management/negotiation of healthcare contracts (Behavioral Health, Addiction, Integrated Care) in multiple settings required.
• Experience with rate setting and analysis required. Three (3) or more years of experience with rate setting and analysis preferred.
• Working knowledge in key healthcare operations (e.g., claims/billing, coding, credentialing) required. AHCCCS Health plan contracting experience strongly preferred.
• Knowledge of healthcare industry – statutes and regulations in Medicaid, Medicare, and Commercial systems; knowledge of behavioral health, addiction and physical health services; knowledge of multiple reimbursement strategies (FFS, Pay for Performance, Full Risk); knowledge of ACOs and contracting with ACOs preferred.
• CBI Offers an excellent benefits package including generous PTO accrual, medical, dental, vision, disability, life insurance, supplemental plans, hospital indemnity/ critical illness, pet insurance, dependent care savings, health care savings, 401K with employer match, wellness programs, tuition reimbursement and scholarship programs, incentives, and more!
• Competitive pay rates and growth opportunities.

About the Role

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency providing a variety of programs throughout Arizona. CBI is the premier non-profit fully integrated healthcare provider of substance use and behavioral health programs in Arizona, including prevention, education, and treatment using evidence-based models. CBI values its employees and offers a supportive culture with professional development opportunities and competitive benefits.