Contract Manager II

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

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Contract Manager II

PRIMARY PURPOSE: To negotiate and/or renegotiate medical contracts for multiple lines of business in managed care markets. Grow the network by recruiting new medical groups and facilities as requested by clients and to fill gaps in geographical coverage.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Negotiates 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.

• Documents contracts; updates contracts as changes occur.

• Coordinates customer inquiries.

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred, experience will be considered in lieu of a degree.

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.

Skills & Knowledge

• Knowledge of complex contracting scenarios.

• Excellent written communication.

• Skilled with Microsoft Excel and Word

• Ability to negotiate win-win scenarios for Sedgwick and the provider.

• Excellent Customer Service.

• Persistence

• Performs other duties as assigned.

• Supports the organization's quality program(s).

• Excellent negotiation skills

• Excellent oral and written communication, including presentation skills

• PC literate, including Microsoft Office products

• Analytical and interpretive skills

• Strong organizational skills

• Ability to work in a team environment

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

 TAKING CARE OF YOU BY

•  We offer a diverse and comprehensive benefits package including:

  • Three Medical, and two dental plans to choose from.

  • Tuition reimbursement eligible.

  • 401K plan that matches 50% on every $ you put in up to the first 6% you save.

  • 4 weeks PTO your first full year.

NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $70,000 - $75,000.  A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.