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Role Description

The Contract Specialist II, reporting to the Network Operations/Contracting Manager, plays a critical role in managing contracts within the PHSO. This position demands a strong grasp of healthcare regulations and contract law to develop, negotiate, and oversee a variety of agreements, including service, provider, and vendor contracts.

• Drafting, reviewing, and negotiating contract language and rates.
• Ensuring all documentation is accessible to DHMSO staff electronically and in hardcopy.
• Ensuring all contracts comply with relevant laws and organizational policies.
• Collaborating closely with legal, finance, and compliance teams to mitigate risks and secure favorable terms.
• Monitoring contract performance, compliance, and renewal dates.
• Maintaining a comprehensive contract management system for accurate record-keeping.
• Acting as a primary contact for external partners on contract matters.
• Organizing and attending relevant meetings.
• Performing general office and clerical duties.
• Securing one-case agreements with non-contracted providers when needed.
• Providing administrative support to designated management staff.

This position is vital for ensuring all contracts are compliant, cost-effective, and aligned with organizational objectives.

Note: This role is remote within California (or other locations with knowledge of/experience with CA managed care). Preference for candidates residing within the Central or Southern CA regions.

Qualifications

• 6+ years experience working in a high-level administrative support position.
• 2+ years working in a medical group, health plan, hospital or other related healthcare organization.
• In-depth knowledge of healthcare regulations, including HIPAA, Stark Law, and Anti-Kickback Statute.
• Bachelor's degree (or equivalent experience) in Business Administration, Healthcare Administration, Law, or related field.
• Proven track record of successful contract negotiation and administration.

Requirements

• Masters degree in Business Administration, Healthcare Administration, Law, or related field preferred.
• 8+ years experience working in a high-level administrative support position preferred.
• 4+ years working in a medical group, health plan, hospital or other related healthcare organization preferred.

Benefits

• Competitive pay with a state-of-the-art, flexible Health & Welfare benefits package.
• Cafeteria-style benefit program with options including medical, dental, and vision plans for employees and their dependents.
• Health Spending Account (HSA).
• Life Insurance and Long Term Disability.
• 401k retirement plan with a generous employer-match.
• Paid Time Off and Sick Leave.