Managed Care & Pharmacy Contracts Portfolio Manager

Apply for Job

Job ID

76553

Location

Sacramento

Full / Part Time

Full Time

Add to Favorite Jobs

Email this Job

Job Summary

#CA-DK

The incumbent works independently and proactively with decision-making responsibility under the general oversight and direction of the UCDH Managed Care & Pharmacy Contracts Director; assists department / division leadership with and / or independently drafts, negotiates, oversees, coordinates and processes Department's payor and provider contracts with professional, facility, pharmacy and ancillary payor and provider contracts with "managed care" payors including : HMO / PPO health plans / payors, insurance companies, third party administrators, payor / specialty networks and external providers.

Incumbent will be responsible for drafting original and 'change' documents, reviews and edits proposed documents and administers / implements all such contractual transactions during the in-force life of the arrangement. The incumbent serves as a resource for UCDH staff and others to provide information, interpretation, and training regarding the financial and operational terms of the contracted arrangements through a variety of means.

The role is responsible for cooperation and coordination with all impacted UCDH managed care and non-managed care operational or functional areas. The incumbent performs researches through a variety of means, evaluates, implements and incorporates into contracts changes in federal and / or State law and University policy related to health care contracting. This role will negotiate and manage payor, pharmacy and health plan contracts responsible for system revenue in excess of $2 billion.

Apply By 11 / 19 / 2025 at 11 : 59PM; Interviews maybe held at any time.

Minimum Qualifications

For full consideration, applicants are encouraged to upload license and / or certification if required of the position.

• Bachelor's degree in business or related field and / or an equivalent combination of education, training, and experience.
• Advanced experience and knowledge pertaining to managed health care programs, products, operations and policies
• Extensive experience preparing and negotiating complex managed care payor and provider contracts documented and advanced experience negotiating hospital, medical group, ancillary, pharmacy and / or downstream agreements in a health care provider setting and / or a health care payor setting
• Extensive experience preparing and negotiating complex managed care payor and provider contracts with documented experience negotiating hospital, medical group, ancillary, pharmacy and downstream agreements in a health care setting and / or payor setting.
• Advanced ability to communicate in writing In a clear, concise and professional manner, via email, letter, and contract documents with the ability to interact with a wide variety of individuals and groups in the healthcare private and public sectors, government, non-profit organizations, and educational institutions, as well as with UCDH faculty and staff.
• Advanced ability to exercise personal initiative and direction, to maintain a sense of self-confidence sufficient to enable Incumbent to accept responsibility for decisions, attempt difficult or unfamiliar tasks, develop new sources of information, present recommendations persuasively, and to provide / receive advice effectively
• Advanced ability to make sound decisions and recommend appropriate strategies and resolutions to department management based upon knowledge and data
• Operating knowledge and skills necessary to utilize current widely utilized and accepted business and healthcare system applications such as MS 365, Word, Excel, SharePoint, Teams, Adobe, meeting Apps, EPIC, etc.
• Advanced critical-thinking, problem-solving, and project-management skills to effectively manage and prioritize multiple levels of information and responsibilities, to successfully manage projects from inception to completion, and to independently assess complex problems and develop an expedient path of resolution.
• Advanced detail orientation, organizational and project management skills to negotiate, manage, and track complex managed care contracts and effectively carry out all contracting activities.

Preferred Qualifications

Key Responsibilities

POSITION INFORMATION

This position is hybrid (mix of on-site and remote work)

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page .

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC : https : / / ucnet.universityofcalifornia.edu / labor / bargaining-units / index.html

Physical Demands

Mental Demands

Work Environment

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

Misconduct Disclosure Requirement : As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community , our Clinical Strategic Plan, and our strategic vision for research and education. We believe you belong here.

The University of California, Davis, is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or protected veteran status

To view the University of California's Anti-Discrimination Policy, please visit : https : / / policy.ucop.edu / doc / 1001004 / Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit : https : / / hr.ucdavis.edu / departments / recruitment / ucd / selection / background-checks