Job Details

Provider Services Contracts Specialist

Company name
Central California Alliance for Health

Location
Scotts Valley, CA

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Provider Services Contracts Specialist
Scotts Valley, CA

ABOUT US
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve approximately 350,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us, click here or check out this video.

WHAT YOU'LL BE RESPONSIBLE FOR
Fulfilling contract requests through independent management of the contracting workflow to ensure legal and regulatory compliance of the Alliance’s contracts while meeting deadlines.  You will conducts research and analysis on contract terms and language as needed, in order to evaluate solutions and alternatives. You will collaborate directly with individual stakeholders to provide guidance on Alliance contracting policies and procedures.  You will collect and synthesize data to produce reports for external auditors and state agencies as needed.  You will perform continuous quality evaluation and improvement of contracting related functions. You will assist with special program and/or new contract process development and implementation.

WHAT YOU'LL NEED TO BE SUCCESSFUL
Knowledge of:

• Legislative and regulatory directives
• Principles and processes for providing customer service
Ability to:
• Work independently and exercise sound judgment and discretion
• Use Microsoft Office applications, including Word and Excel
• Understand and interpret contract language, legislative and regulatory directives
• Prepare, proofread and edit contracts
• Research relevant legal materials to aid in decision making
Education and Experience:
• 2 years of experience with managed care or administrative contracting, health services or government assistance programs
• Bachelor's degree required; or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying

BENEFITS:
• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 11 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Fresh Fruit Delivery
• EV Charging Stations
• And many more!

For a complete position description and to apply online, please visit our careers website at http://www.ccah-alliance.org/careers.html

Applicants must be currently authorized to work in the United States on a full-time basis.

Company info

Central California Alliance for Health

Company Profile
The Alliance is an award-winning regional non-profit health plan, established in 1996, with over 22 years of successful operation. Using the State’s County Organized Health System (COHS) model, we currently serve 350,000 members in Santa Cruz, Monterey and Merced counties.

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