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Location

Orange, CA | United States

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Job description

Director, Managed Care Contracting - Health Services Contracting - F/T HYBRID

Updated: Mar 6, 2024
Location: Anaheim
Job Type:
Department: Health Services Contracting

UC Title: MGD CARE MGR 2

Position Number: 41067734

Reports to: Exec Director, Contracting

Working Title: Dir., Managed Care Contracting

Cost Center: Health Services Contracting (428514)

Bargaining Unit: No Bargaining Unit

FLSA: Exempt

Date Created: 3/06/2024

Job Code: 005757

Hours: 40

Shift: Not Applicable

FTE: 1

Position Summary:

Incumbent defines and implements strategy and contract performance expectations for the enterprise. The incumbent is responsible for managing and directing a staff of contracting professionals that negotiate and draft contracts with aggregate impact more than $1.5 billion. The incumbent is responsible to suggest and implement innovative reimbursement strategies, including value-based care, bundled payment programs and initiate participation in innovative networks/programs to optimize financial performance, while helping to prioritize the team efforts to maximize our growth opportunities. The incumbent provides effective drafting, review, negotiation, execution, implementation, and evaluation of all contracts including, health plan, clinical services, ancillary, and other contracts that support the Enterprise. The incumbent establishes, implements and maintains contract relationships with referral medical groups, referral hospitals, health plans and other third-parties to enable patient referrals. The incumbent will report to the Executive Director, Enterprise Managed Care Contracting.

Total Compensation

In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our:

Compensation practices () and

Benefits ().

Salary Range:

Annual Rate Minimum $138,800.00 Midpoint $208,300.00 Maximum $277,800.00

Required Qualifications:

Ability to maintain a work pace appropriate to the workload

Must demonstrate customer service skills appropriate to the job

Evidence of sound critical thinking skills and the ability to think creatively and strategically to problem solve

Demonstrated ability to interact effectively, build trust and establish effective working relationships across the Health System and with a wide variety of audiences

Minimum 8 years' provider contracting experience in a managed care environment, including negotiation, preparation, review, administration, maintenance, and monitoring of contracts.

Bachelor's degree in business, Finance, Healthcare or related discipline or equivalent experience

Extensive experience dealing with payors or providers.

Minimum of 3 years' management experience in a highly complex, diverse health care organization

Ability to implement business plans and contracting activities to achieve objectives.

In-depth knowledge of Medicare and MediCal policies, practices, and reimbursement strategies

Thorough understanding current reimbursement methodologies and ability to distinguish the most effective method for each situation.

Must be self-motivated and goal driven.

Ability to critically evaluate options, tradeoffs within contracting opportunities.

Working knowledge of complex provider relations, credentialing activities.

In-depth knowledge and experience in managed care, value-based contracting, Medicare Advantage, capitation, narrow networks, and other innovative payment models.

Preferred Qualifications:

Master's Degree

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page:



Closing Statement:


The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.


We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.


UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.





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About University of California Irvine Health

Since 1965, the University of California, Irvine has combined the strengths of a major research university with the bounty of an incomparable Southern California location. UCI's unyielding commitment to rigorous academics, cutting-edge research, and leadership and character development makes the campus a driving force for innovation and discovery that serves our local, national and global communities.

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