Contracts Specialist at Orange, CA 92868Aroha Technologies • Orange, CA, United States
No longer accepting applications
Contracts Specialist at Orange, CA 92868
Aroha Technologies • Orange, CA, United States
8 days ago
Job type
- Full-time
- Quick Apply
Job description95% - Contract Support Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals / priorities for the department. Evaluates out of network requests from medical management, assesses in-network providers for redirection and attends daily staff meetings to discuss outcomes. Negotiates single patient agreements for members directed out of network and serves as a point of contact for provider inquiries. Updates and reviews desktop procedures and identifies opportunities for improvement. Assists Contracts Managers with contract creation, distribution and collection of outstanding contract documents. Maintains electronic library of provider contacts and contracts on shared drive and contract management system / database. Responds to inquiries regarding contract status, network rosters, provider reimbursement and application / credentialing status in a timely manner. Keeps department management abreast of issues and concerns regarding contracts, projects and tasks. 5% - Other Associate degree PLUS 2 years of work experience related to managed care or related field 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. Experience negotiating single patient agreements, professional and ancillary contracts. N / A Develop rapport and establish and maintain effective working relationships with leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees / coalitions. 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.
Job Title : Contracts Specialist
505 City Parkway West Orange, CA 92868
Need Locals (Southern Ca)
Position Information :
- Department : Contracting
- Work Arrangement : Full Office
- Work Schedule : Monday through Friday, 8 : 00 a.m. - 5 : 00 p.m.
Duties & Responsibilities :
Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
Completes other projects and duties as assigned.
Minimum Qualifications :
Preferred Qualifications :
Experience with elementary data analysis.
Required Licensure / Certifications :
Knowledge & Abilities :
Yashika Jaint
Senior Healthcare Recruiter
Direct : 510-400-6494
Aroha Technologies Inc.
www.arohatechnologies.com
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Orange Orange Ca • Orange, CA, United States
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