Contracts Manager, Payor

About Altais: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.Altais includes a network of physician-led organizations across California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected healthcare system.About the RoleAre you looking to join a fast-growing, dynamic team?

We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients.The Contracts Manager, Payor is responsible for managing and negotiating Payor Contracts for all lines of business; Commercial, Medicare and Medi-Caid HMO, PPO, and ACO. Primary duties include health plan operations, contract analyses,negotiationsand contributing to operational implementation.You will focus on:Responsible for the management of multiple health plan contractswith various risk sharing and delegation arrangementsfor the state of California.Effectively conducts negotiations with health plan and payor partners to achieve operational efficiency and budgeted results ona timelybasis with moderate supervision: Conducts review of historical/potential financial performance of the contracts, using MLR financial reports andpreviousnegotiation history.Prepares negotiation letters and sends them outin a timely mannerto begin negotiations.Tracks negotiation history and creates ratecomparisongrids and other resources to show negotiation progress.Researchesthe effect of contract and financial terms with operating departments. Work with other departments to ensure operational concerns are addressed in new contracts.Submit financial analysis requests toFinancefor health plan contract negotiationsand act as point person for questions.Ensures contract language abides by state and federal law and communitystandard.

Any deviations from language must be signed off by the appropriatedepartmentlead and/or Legal.Drafts and implementsaccurateandtimelywritten communication piecesregardingnew and renewed health plan payer arrangements and to the network andappropriate departments, including: Tracks all negotiations for Senior Executives and Board of Director Summaries.Update Health Plan presentation deck with contract negotiation status for executive leader meetings.Communicates results of the finalized arrangement for presentation to internal departments asappropriate,i.e.some redacted versions.Solicits information and feedback from operating departments regarding, implementation and performance of contracts asrequired.Maintains all health plan payer contract data in a Health Plan Contract Summary grid or contract management database with reportable functionality.Review and update health plan renewal tracking grid for all health plancontracts.Develop andmaintainsuccessful relationships with Health Plan Payer partners andmaintaina contactlistof all levels of health planpayer partner Contracting staff. Act asliaisonfor resolution of problems related to the operations of all health plan contracts. Maintain organization of health plan payer resources on BTNet,i.e.Provider Manuals, Contact List, Communication Notices, DOFR’s, etc.Support Provider Contract negotiations, as necessary.Conducts organizational in-service/education of organization on health plan payer relationship and contract terms. Performs all office functions accurately within reasonable limits based upon established needs and specified deadlines.

Collaborate with operational leaders to reach mutually agreeable health plan contract language and ensure compliance with contract terms.Contract language interpretation anddelegationknowledge and skills in multiple lines of business (i.e.HMO, PPO, ACO, MSSP).Responsible for training, educating,assisting, and solving escalated issues related to contract terms and operationscompany-wide.The Skills, Experience & Education You BringMinimum of five (5) years of managed healthcare contractingandhealth plannegotiatingexperience necessary to haveacquiredanddemonstratedskills and abilities listed above.At least three (3) years working for a health plan or medical group/IPA in the Payor space.College degree or equivalent experienceThe Base Salary for this position is$107,250 - $128,700/yrIn 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 coverage401k savings plan with a company matchFlexible time off and 9 Paid HolidaysYou Share Our Mission & Values: CompassionWe act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuinecommitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.CommunityWe 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.LeadershipWe lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration andexpertise, we empower others to lead, drive change, and shape the future of care.ExcellenceWe are relentlessly focused, results-driven, and accountable for delivering measurable value to physicians and the patients they serve.

Our highstandards reflect our commitment to excellence, operational discipline, and continuous improvement.AgilityWe embrace change as a constant and respond swiftly to the evolving needs of the healthcare industry. With flexibility and forward-thinking,we adapt, innovate, and act decisively to keep physicians at the forefront.Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description.

Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience. Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.External hires must pass a background check/drug screen.

Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.Originally posted on Himalayas