Hill Physicians Medical Group · 16 hours ago
Senior Manager, Contracts Network Development - 26-10
San Ramon, California
Full-time
Onsite
Senior Level
$121K/yr - $159K/yr
5+ years expHill Physicians Medical Group is shaping the healthcare of the future through actively managed care. They are seeking a Senior Manager for Contracts Network Development to analyze and negotiate health plan contracts and ensure compliance with operational objectives.
Health CareMedicalProfessional Services
Responsibilities
Analyze and recommend rates and terms for health plan, ancillary and physician contract terms and take point in leading their negotiation as assigned
Act as liaison between Hill Physicians’ departments and the health plans, to identify problem patterns and improve communication and other processes between Hill and the health plans
Ensure Health Plan compliance with key contract terms, such as capitation deductions
Ensure providers meet key operational and financial objectives, such as cost-effective delivery of care and comply with key contract terms
Coordinate the efforts of internal departments to ensure appropriate administration of subcontracted services and to ensure payments are made in accordance with contract terms. Be accountable to the Regional Services Directors for ensuring contracts meet the overall network requirements of the region
Support the Senior Director of Contracting and/or the Chief Contracting Officer in generating reports and performing special projects
Identify opportunities for cost savings or improved contract terms throughout the network
Qualification
Required
Exceptional written and verbal communication skills
Strong desktop application skills including Word, Excel, Power Point, Salesforce, and database management skills
Minimum five (5) years' experience in managed care contracting, with experience in capitated contract environments
Must have working knowledge of provider & health plan contract authorization and claims payment protocols
Ability to identify and define work process issues and work collaboratively to find solutions
Strong, demonstrated financial analysis and auditing skills
Effective at working independently and in partnership with key internal stakeholders
Must be able to develop constructive and credible relationships with external business partners
Must be able to successfully and simultaneously manage multiple projects and deadlines
Bachelor's degree required
Preferred
Masters preferred
Company
Hill Physicians Medical Group
Hill Physicians Medical Group is an independent physician association that focuses on providing innovative and quality healthcare.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
David Joyner
Chief Executive Officer
Recent News
2025-11-05
2025-09-12
Seattle TechFlash
2025-04-17
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