Job Details

Job Description

Cottage Health seeks a Manager, Contracting responsible for provide research, analysis, recommendations and implementation of managed care and service contracts as well as lease agreements for Cottage Health and affiliated entities. Accountabilities include strategizing, reviewing and negotiating managed care contracts working with the CFO, financial planning, and legal to plan for adequate reimbursement for healthcare services.

Responsibilities

This is not an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any job, with related instruction given by their supervisor, subject to reasonable accommodation.

• Assists in the development of value-based contract strategy, including bundled payment arrangements, capitated payment arrangements, etc.
• Interfaces with Patient Business Services on disputes between contract payment and actual payment.
• Supports requests and negotiates payment from non-contracted third party payers for services provided to inpatients of the three hospitals.
• Supports VPs, department directors and managers on service contract and lease review, initiation and renewal, ensuring compliance with the Cottage Health Contract for Services policy. Provides recommendations for cost savings and compliance improvements.
• Administrator for the contract management system (MediTract) for managed care and service contracts. Maintenance of system to ensure adequacy and accuracy of the contract database.
• Communicates throughout the organization on issues related to all contracts and leases, including payer and vendor programs, policies and procedures. Provides recommendations for contract policy updates.

Qualifications

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

LEVEL OF EDUCATION

Minimum: Bachelors Degree

Preferred: Masters Degree

CERTIFICATIONS, LICENSES, REGISTRATIONS

Preferred: Certified Revenue Cycle Representative

TECHNICAL REQUIREMENTS

Minimum: High proficiency with Word, Excel & Power Point; ability to navigate online Minimum: databases & complete detailed data entry in an online format.

Preferred: Proficiency with MediTract or comparable online database

YEARS OF RELATED WORK EXPERIENCE

Minimum: 2 years experience managing contracts.

Preferred: 5 years experience managing contracts.

About Us

Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love.

Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.

Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter.

If you're already a Cottage Health employee, please apply on this link only.