Healthcare Plans Contract Specialist (Hybrid Position)Specialty Care Rx • Orange, CA, US

Healthcare Plans Contract Specialist (Hybrid Position)

Specialty Care Rx • Orange, CA, US

2 days ago

Job type

Full-time

Job description

Overview

Healthcare Plans Contract Specialist (Hybrid Position) — Provide administrative support throughout the contracting process. Ensure and maintain the integrity of BMR Partners and contract templates and the contract files. Develop and maintain strong internal and external relationships to support the contracting process. This hybrid role requires a minimum of three in-office days per week.

Essential Duties & Responsibilities

Maintain the integrity of contract templates, contract files, and correspondence templates.
Prepare and execute contract documents, i.e., initial application, credentialling application, renegotiations.
Monitor and track progress of all contract negotiations.
Responsible for quality control process of new and revised documents.
Create and maintain payor contract renewal calendar to insure timely renegotiations.
Conduct research to assist contracting process.
Assist in scheduling and maintaining the annual and ad-hoc health plan meeting calendars, preparing meeting agendas, materials and follow-up items.
Serve as a communication link between payors and the Company.
Develop, maintain and distribute custom contract matrices.
Investigate and problem-solve concerns relating to contracts.
Other duties as assigned.

Qualifications

The individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum 3 years\' experience in healthcare such as medical claims, medical front / back office, contracting or Provider Relations preferred.

Enjoys working in both individual and team settings.

Must be able to work independently, providing management with status updates.

Ability to effectively communicate in English, both verbally and in writing.

Proficient in Microsoft Office skills (Excel, Word, Access, etc.)

Multi-task; establish priorities.

Self-starter, resourceful and able to execute projects in a fluid and fast-paced environment.

Good communication skills

Strong analytical skills

Attention to detail.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Health Care Provider

Industries

Hospitals and Health Care

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Healthcare Specialist • Orange, CA, US