Contract Manager II

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. 

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®
Most Loved Workplace® 
Forbes Best-in-State Employer

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.

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).
   

WORK ENVIRONMENT

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

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer work, travel as required

Auditory/Visual: Hearing, vision and talking statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

#medicalcontracts #contractmanager

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 ($47,011 - $65,000). 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.