Contracts Manager, Provider

Location: California

At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks. Through smarter technology, purpose-built tools, and a team-based model of care, we help doctors do what they do best: care for people.

The Contracts Manager, Provider is responsible for maintaining Physician Network contracting efforts.  Specifically, the position is responsible for AMG’s health care arrangements with both Primary and Specialty physicians and physician groups.  Primary duties include contract analyses, negotiations and contributing to operational implementation. The Contracts Manager, Provider effectively conducts negotiations with network physicians and physician groups, achieve contracting strategy and achieve budgeted results on a timely basis:
Knowledge of CPT, ICD-9 and 10, DRG, HCPCS, RBRVS, and Provider Capitation is essential.  Must be highly organized with strong analytical and problem-solving skills. Detail oriented with ability to manage projects from inception to completion.

Work with other departments to ensure operational concerns are addressed in new contracts at the request of the Contracts Operations Manager.
* Conducts physician market research and provides market descriptions as needed for physician network expansion efforts.
* Solicits information and feedback from operating departments regarding implementation and performance of contracts as required.
* Identifies and implements AMG strategies and contracting methodologies to stabilize or decrease expenses.

Develop successful relationships with Provider Relations staff, and physicians and their office staff and act as liaison for resolution of problems related to providers including reimbursement and contracting by proactively identifying and responding to problems in a timely, accurate and professional manner.

Represent Network Management Department on varying internal committees, as assigned.

Communicates positive marketing information regarding AMG client services, capabilities and developments to contracted network providers.

Under moderate supervision, oversee preparation of financial analyses related to financial and strategic decisions impacting AMG’ Network goals and initiatives.

Conductsof and cross-training staff so as tothe department to continue optimal functioning in the absence of one or more staff members.

Directs decisions of other company departments regarding payment and authorization determination, and benefit interpretation relevant to physician contract arrangements.

Completes projects within scheduled time frames and within established standards.

Updates the status of activities through use of department tracking tool.
** The Skills, Experience & Education You Bring
*** College degree or equivalent experience
* 5+ years of prior relevant experience in Contracts Management within a Provider space

The Base Salary for this position is **$107,250 - $128,700/yr
** In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
* Excellent medical, vision, and dental coverage
* 401k savings plan with a company match
* Flexible time off and 9 Paid Holidays
** You Share Our Mission & Values:
**** Compassion
* * We act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuine commitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.
** Community
* * We foster a culture of collaboration--with physicians, patients across the healthcare ecosystem, and among our teams. By building strong, trusted relationships, we create a unified community focused on advancing patient care and physician well-being.
** Leadership
* * We lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration and expertise, we empower others to lead, drive change, and shape the future of care.
** Excellence
* * We are relentlessly…