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Sales & Marketing

Communicating the Future of Care

Continually focused on advancement and improvement, our innovative sales and marketing professionals anticipate and respond to the ever-changing demands of our customers, members, regulators, and the marketplace.

Senior Contract Manager

Location: Honolulu, HI Job Number: 710627 Date posted: 06/13/2018
Description: Identifies outside service needs and opportunities to complement overall supplier relationships and care delivery. Collaborates with service chiefs and others to develop contracting strategies. Develops and maintains relationships with external care providers and suppliers. Works with most complex organizations and large, complex contracts. Serves as a resource specialist for contracting and negotiation.

Essential Responsibilities:
  • Identifies and/or anticipates outside service needs to complement overall care delivery.Collaborates with appropriate leadership teams in development of contracting strategies and other objectives. Negotiates medical care/service contracts for health plan membership and hospitals. Monitors compliance with contract terms and conditions. Negotiates resolution of disputes.
  • Develops and maintains relationships with internal/external care providers. Maintains provider relations. Serves as resource specialist in contracting and negotiation.
  • Monitors external healthcare delivery marketplace and internal utilization trends. Assesses new opportunities for cost savings, alternative delivery models and financial risk sharing.
  • Develops reimbursement methodologies and understand Medicare and Medicaid reimbursement policies and regulations. Develops payment strategies and understands medical claims payment requirements.
  • Performs analysis of contracts for impact assessment and recommends changes as appropriate.
  • Ensures compliance with related regulatory requirements. Provides counsel to regional leadership and work teams on contracting issues.Provides direction in communicating contract reimbursement terms to the claims department. Provides direction regarding contract implementation.


  • Basic Qualifications:
    Experience
  • Minimum five (5) years of contracting experience to include medical expense and utilization analysis or JD with three years contracting experience.
    Education
  • Bachelor's degree in business, finance, health care administration, or related field OR four (4) years experience in a directly related field.
    License, Certification, Registration
  • Valid driver's license.

    Additional Requirements:
  • Demonstrated knowledge of healthcare/commercial/business contracting, financial and policy analysis, healthcare delivery and payment systems and competitive market strategies systems.
  • Demonstrated knowledge of Center for Medicaid - Medicaid Services payment methodologies and regulations.
  • Demonstrated knowledge of NCQA and JCAHO accreditation and state and federal regulatory requirements specific to healthcare organizations.
  • Demonstrated knowledge of and skill in adaptability, change management, conflict resolution, customer service, decision making, influence, negotiation, interpersonal relations, oral communication, prioritization, problem solving, quality management, systems thinking, teamwork, time management, leadership, facilitation and project management.
  • Demonstrated knowledge of and skill in word processing, multimedia presentations, spreadsheet and database PC applications.

    Preferred Qualifications:
  • Contract negotiations experience.
  • Master's degree in business, finance, health care administration, or related field or JD.
  • Demonstrated knowledge of HMO healthcare delivery systems.

  • Demonstrated knowledge of Kaiser Permanente systems and processes.

    Primary Location: Hawaii,Honolulu,Dole Service Center 680 Iwilei Rd. Ste. 101 201 Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon-Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: Sales and Marketing Department: Material Mgmt-Admin Travel: Yes, 5 % of the Time
    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
  • About Sales & Marketing

    Careers In Sales & Marketing

    Apply your sales, account management, marketing, and product development skills as a member of our high-performing team. Kaiser Permanente's unique stance as an insurance provider and care delivery organization provides the key differentiation that rests at the core of our offering. This, coupled with an unwavering commitment to health advocacy and total health, drives our marketing and sales strategies — and it's what will set your career apart from the rest.

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