Contract Manager II

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. 

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®
Most Loved Workplace® 
Forbes Best-in-State Employer

PRIMARY PURPOSE: To negotiate fee-for-service hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to expand and develop provider network.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Negotiates fee-for-service hospital and medical group contracts for multiple lines of business in the managed care markets.
• Analyzes market data and financial models.
• Prepares, negotiates, and administers provider contracts.
• Develops and expands provider participation within the network.
• Maintains provider participation within the network.
• Monitors provider performance; implements corrective action plans.
• Identifies current issues and probable future issues; guides staff through resolution.
• Documents contracts; updates contracts as changes occur.
• Coordinates customer inquiries.
   

QUALIFICATIONS

• Performs other duties as assigned.
• Supports the organization's quality program(s).

Education & Licensing

Bachelor's degree with major in Health Services or Hospital Administration from an accredited college or university preferred.

Experience

Four (4) years of progressive provider network contract negotiation experience or equivalent combination of education and experience required. Experience in a healthcare management environment including provider contracting, servicing and benefit interpretation preferred. Two (2) years supervisory experience preferred.

Skills & Knowledge

• Strong project management skills
• Excellent negotiation skills
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Leadership/management/motivational skills
• Analytical and interpretive skills
• Strong organizational skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK …