Health Plan Contracting Manager

Responsibilities

• Serve as primary point of contact for Health Plans regarding negotiations for all applicable MedPOINT Clients.
• Take the lead in establishing and fulfilling MedPOINT’s role in each client’s health plan contracting negotiations.
• Provide regular executive-level updates and recommendations to MedPOINT Leadership, clients, and health plans.

Requirements

• Firm foundation in managed care contracting in California on behalf of IPAs, RKKs, and Hospitals for all lines of business.
• Expertise in market dynamics and costs, with existing relationships.
• Ability to provide regular executive-level updates and recommendations.
• Knowledge and experience working in the managed care market to achieve on-target financial negotiations for all product lines.
• Thorough understanding of health plan and risk pool contract terms, various product lines, DOFR interpretation, IPA and hospital operations related to implementing contract terms, market dynamics, and MSO operations.