Rancho Cordova, CA, USA
1 day ago
Contract Analyst Physician Enterprise
Overview

Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers we provide increasing support and investment in the latest technologies finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service.


Responsibilities

***This position is work from home within California.

Position Summary:


The Contract Analyst will report to the System Director Population Health Management Risk Analytics. The Contract Analyst will be responsible for the development, negotiation, and management of contract terms. This role requires a comprehensive understanding of healthcare terms, including Division of Financial Responsibility (DOFRs) and the ability to manage complex contract processes. The Contract Analyst will collaborate with various stakeholders to ensure that all contracts are compliant, cost-effective, and aligned with organizational goals and objectives.


Responsibilities may include:
- Collaborates with the Population Health Management (PHM) Analytics Team to identify professional provider contracts that need to be renegotiated. Works with the team to understand and evaluate the analytics performed on existing contracts and evaluate the need for a new provider contract within the market.
- Identifies existing professional provider contracts that should be terminated due to being obsolete and/or non use.
- Negotiates professional provider contracts within defined pre-established parameters ensuring that information is readily available for reference by Dignity Health Medical Foundation staff by all appropriate means, including hardcopy and electronic.
- Obtains approval for contracts that are negotiated outside of pre-establish parameters.
- Develops a contract negotiation term sheet to identify key terms negotiated, proper approvals, etc.
- Ensures that all contracts are in compliance with applicable laws, regulations and organizational policies.
- Monitors contract performance, compliance, and renewal dates to ensure timely actions are accurately taken.
- Maintains a comprehensive contract management system, ensuring all contracts are accurately recorded, tracked, and updated.
- Serves as a point of contact for external partners regarding contract-related matters.
- Organizes and attends meetings as necessary, including responsibility for agenda, minutes, and handouts.
- Tracks Health Plan Corrective Action Plans (CAPs), including documenting responsible parties, due dates, response dates to health plans and following up on outstanding items to ensure timely response.


Qualifications

Minimum Qualifications:


- 6+ years experience working in a support position, such as project management or administrative position that manages processes. 2+ years working in a medical group, health plan, hospital, or other related healthcare organization.
- Bachelor’s Degree in Business Administration, Healthcare Administration, or work related experience.

Preferred Qualifications:


- 8+ years experience working in a support position, such as project management or administrative position that manages processes preferred. 4+ years working in a medical group, health plan, hospital, or other related healthcare organization preferred.
- Proven track record of successful contract negotiation and administration preferred.
- Master’s Degree in Business Administration, Healthcare Administration, or work related experience preferred.

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