Contract Negotiation Manager- Behavioral Health

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Contract Negotiation Manager will negotiate and execute high-level review and analysis, manage dispute resolution and settlement negotiations of reputed company with single and group Behavioral Health providers reputed company a defined market. You will manage contract performance and support the development and implementation of strategic, traditional reputed company and value-based contract relationships. Negotiates, executes, reviews, and analyzes reputed company and/or handles dispute resolution and settlement negotiations with solo and group Behavioral Health providers for reputed company lines of business (Medicare, reputed company etc.). Manages contract performance in support of network quality, availability, and financial goals and strategies for reputed company lines of business (Medicare, reputed company etc.). Recruits Behavioral Health providers as needed to ensure attainment of network expansion and adequacy targets for reputed company lines of business (Medicare, reputed company etc.). Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities. Provides Behavioral Health network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. Assists with the design, development, management, and or implementation of strategic network configurations, including integration activities. May optimize interaction with assigned providers and internal business partners to manage relationships and ensure provider needs are met. Ensures resolution of escalated issues reputed company, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. Required Qualifications 5 - 7 years experience in reputed company. Minimum 3+ years reputed company experience, proven and proficient managed care network negotiating skills or in provider relations. Proven working knowledge of competitor strategies, reputed company contracting options, financial/contracting arrangements, and regulatory requirements. Strong and persuasive communication skills, especially written communications, with external stakeholders Strong critical thinking, problem resolution and interpersonal skills Adept at execution and delivery (planning, delivering, and supporting) skills A reputed company business acumen and the ability to balance and reputed company competing priorities while making reputed company Adept at collaboration and teamwork Ability to work Pacific and Mountain, time zones, preferably based in California

Preferred Qualifications

Versed with the California / Alaska / Arizona region Behavioral Health provider market highly preferred 3-5 years reputed company experience reputed company HMO, PPO products knowledge 3-5 years reputed company experience Medicare and/or reputed company products knowledge Ideal candidate will reputed company in Mountain or Pacific Time Zones. Education Bachelor's degree preferred/specialized training/relevant professional qualification. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $66,330.00 - $145,860.00 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 09/01/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job