{"id":24067,"date":"2026-06-03T17:43:50","date_gmt":"2026-06-03T17:43:50","guid":{"rendered":"https:\/\/www.monmouth.edu\/career-development\/job\/contracts-manager-sr\/"},"modified":"2026-06-30T08:30:37","modified_gmt":"2026-06-30T12:30:37","slug":"contracts-manager-sr","status":"publish","type":"ch_job","link":"https:\/\/www.monmouth.edu\/career-development\/job\/contracts-manager-sr\/","title":{"rendered":"Contracts Manager Sr"},"content":{"rendered":"

Contracts Manager Sr<\/strong><\/p>\n

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CalOptima<\/strong><\/p>\n

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Join Us in this Amazing Opportunity<\/strong><\/p>\n

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The Team You’ll Join<\/strong><\/p>\n

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We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.<\/p>\n

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More About the Opportunity<\/strong><\/p>\n

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We are hoping you will join us as a Contracts Manager Sr<\/strong> and help shape the future of healthcare where you’ll be an integral part of our Contracting <\/strong>team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Partial Telework<\/strong>.<\/p>\n

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\u2022 If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.<\/strong><\/p>\n

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The Contracts Manager Sr will be responsible for the management, negotiation, coordination, planning, tracking, oversight and implementation of high visibility\/complex provider contracts, such as health networks, large medical groups, hospitals and other facility contracts, with various reimbursement methodologies, including capitation, value based and fee-for-service. You will also maintain close communication and collaboration with the organization’s leadership and other departments. You will lead and provide subject matter expertise for all contract negotiations of assigned contracts. Additionally, you will serve as a lead contact representing the Contracting department for health networks, large medical groups, hospitals and other facility contracts. Together, we are building a stronger, more equitable health system.<\/p>\n

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Your Contributions To the Team:<\/strong><\/p>\n

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\u2022 90% – Contracting Functions<\/p>\n

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\u2022 Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.<\/p>\n

\u2022 Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals\/priorities for the department.<\/p>\n

\u2022 Negotiates, organizes, develops and administers contracts for high-visibility\/complex provider service delivery networks in support of CalOptima Health’s Medi-Cal and Medicare programs, as assigned.<\/p>\n

\u2022 Provides regularly scheduled reports to the manager regarding the status of contacting assignments.<\/p>\n

\u2022 Serves as a subject matter expert, coaches, mentors and leads other Contract Managers, and contracting staff as needed.<\/p>\n

\u2022 Coordinates with legal to prepare and update contract language and related materials as necessary.<\/p>\n

\u2022 Communicates with both internal and external customers to help facilitate contracting efforts and ongoing relationships with the provider community to service CalOptima Health members.<\/p>\n

\u2022 Monitors the health care marketplace and internal utilization trends to assess new opportunities for cost savings, alternate delivery models and financial risk sharing through contractual arrangements in conjunction with executives.<\/p>\n

\u2022 Monitors the effectiveness and performance of assigned contracts and collaborates with management to identify and implement strategies to enhance existing contract performance as identified.<\/p>\n

\u2022 Works with executives and other leadership to identify and problem-solve complex provider contracting issues.<\/p>\n

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\u2022 10% – Completes other projects and duties as assigned.<\/p>\n

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Do You Have What the Role Requires?<\/strong><\/p>\n

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\u2022 Bachelor’s degree in healthcare administration, business management or related field PLUS 5 years of managed care contracting experience for Medi-Cal, Medicare and commercial lines of business with a health plan or large provider delivery system required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.<\/p>\n

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\u2022 3 years of contracting and\/or network management experience required.<\/p>\n

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You’ll Stand Out More If You Possess the Following:<\/strong><\/p>\n

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\u2022 6 years of experience in Southern California managed care, negotiating hospital and capitated medical group contracts.<\/p>\n

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What the Regulatory Agencies Need You to Possess?<\/strong><\/p>\n

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\u2022 N\/A<\/p>\n

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Your Knowledge & Abilities to Bring to this Role:<\/strong><\/p>\n

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\u2022 Develop rapport and establish and maintain effective working relationships with CalOptima Health’s leadership and staff and external contacts at all levels and with diverse backgrounds.<\/p>\n

\u2022 Work independently and exercise sound judgment.<\/p>\n

\u2022 Communicate clearly and concisely, both orally and in writing.<\/p>\n

\u2022 Work a flexible schedule; available to participate in evening and weekend events.<\/p>\n

\u2022 Organize, be analytical, problem-solve and possess project management skills.<\/p>\n

\u2022 Work in a fast-paced environment and in an efficient manner.<\/p>\n

\u2022 Manage multiple projects and identify opportunities for internal and external collaboration.<\/p>\n

\u2022 Motivate and lead multi-program teams and external committees\/coalitions.<\/p>\n

\u2022 Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications\/systems to produce correspondence, charts, spreadsheets, and\/or other information applicable to the position assignment.<\/p>\n

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Your Physical Requirements (With or Without Accommodations):<\/strong><\/p>\n

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\u2022 Ability to visually read information from computer screens, forms and other printed materials and information.<\/p>\n

\u2022 Ability to speak (enunciate) clearly in conversation and general communication.<\/p>\n

\u2022 Hearing ability for verbal communication\/conversation\/responses via telephone, telephone systems, and face-to-face interactions.<\/p>\n

\u2022 Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.<\/p>\n

\u2022 Lifting and moving objects, patients and\/or equipment 10 to 25 pounds<\/p>\n

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Ways We Are Here For You<\/strong><\/p>\n

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\u2022 You’ll enjoy competitive compensation for this role.<\/p>\n

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\u2022 Our current hiring range is: Pay Grade: 314 – $99,902 – $159,843 ($48.03 – $76.8476).<\/strong><\/p>\n

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\u2022 The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors.<\/strong><\/p>\n

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\u2022 This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**)<\/strong><\/p>\n

\u2022 A https:\/\/www.caloptima.org\/en\/careers#benefits<\/p>\n

\u2022 CalPERS pension program and additional retirement packages.<\/p>\n

\u2022 Additional benefits and perks including:<\/p>\n

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\u2022 A generous PTO program<\/p>\n

\u2022 A quality work life balance<\/p>\n

\u2022 Various wellness programs<\/p>\n

\u2022 Tuition Reimbursement<\/p>\n

\u2022 Professional development opportunities<\/p>\n

\u2022 Career development opportunities<\/p>\n

\u2022 Flexible scheduling<\/p>\n

\u2022 And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.<\/p>\n

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Our Work Environment:<\/strong><\/p>\n

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If located at the 500, 505 Building or a remote work location:<\/p>\n

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\u2022 Work is typically indoors and sedentary and is subject to schedule changes and\/or variable work hours, with travel as needed.<\/p>\n

\u2022 There are no harmful environmental conditions present for this job.<\/p>\n

\u2022 The noise level in this work environment is usually moderate.<\/p>\n

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If located at PACE:<\/p>\n

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\u2022 Work is typically indoors in a clinical setting serving the frail and elderly.<\/p>\n

\u2022 There may be harmful or hazardous environmental conditions present for this job.<\/p>\n

\u2022 The noise level in this work environment is usually moderate to loud.<\/p>\n

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If located in the Community:<\/p>\n

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\u2022 Work is typically indoors and sedentary and is subject to schedule changes and\/or variable work hours, with travel as needed.<\/p>\n

\u2022 Employee will occasionally work outdoors in varied temperatures.<\/p>\n

\u2022 There may be harmful or hazardous environmental conditions present for this job.<\/p>\n

\u2022 The noise level in this work environment is usually moderate to loud.<\/p>\n

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Why Join Us?<\/strong><\/p>\n

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We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone’s input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare.<\/p>\n

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What’s Your Next Step?<\/strong><\/p>\n

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All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is June 15, 2026 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.<\/strong><\/p>\n

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Our Commitment to You<\/strong><\/p>\n

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Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview.<\/strong><\/p>\n

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If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and\/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.<\/p>\n

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We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process.<\/p>\n

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CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion\/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.<\/strong><\/p>\n

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If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.<\/strong><\/p>\n

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To apply, please visit: https:\/\/apptrkr.com\/7208030<\/strong><\/p>\n

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