About The Position
Oversees the development, review, and maintenance of provider network contracts to ensure compliance with regulatory, policy, and organizational standards. Supports the strategic development and sustainability of provider networks through contract preparation, amendments, and provider communications. Accountable for performing provider and network analysis to support contracting and administration activities. Serves as a subject-matter resource by resolving provider and internal inquiries related to contracting and network administration, while engaging in provider contract negotiations and applying a working knowledge of reimbursement structures.
Requirements
- Graduate from Specialty Training Program- (Required)
- Minimum of 2 years-Relevant experience (Required)
- Analytical Thinking
- Communication
- Customer Service
- Healthcare Regulatory Environment
- Legal Analysis
- Legal Writing
- Multitasking
- Teamwork
Nice To Haves
- Associate's Degree- (Preferred)
Responsibilities
- Responsible for development, review and maintenance of contracts according to applicable regulations, policies and standards.
- Responsible for development, review and maintenance of contracts that (i) comply with applicable regulations, policies and standards; and (ii) contain complete and accurate terms and conditions of a business relationship that benefit the System by identifying, reducing, shifting or eliminating risk using department standards, professional discretion and independent judgment.
- Identifies and notifies management of potential operational, legal and financial issues and recommends alternatives throughout document development.
- Develops and manages the maintenance of contract template documents and/or reference materials to be utilized as an initial foundation to assist in the generation and review of commonly requested agreements and coordinates managing and maintaining accurate records of important contracting reference materials.
- Maintains precise documentation of contractual records and retention of resolutions for future situations.
- Manages all database requirements with respect to contracts.
- Monitors contract anniversaries for renewal and coordinates the renewal with the departments and any recommended or department requested renegotiation.
- Provides accurate inventory and filing of current and pending contracts awaiting completion.
- Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.
Benefits
- We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.
- Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
- We know that a diverse workforce with unique experiences and backgrounds makes our team stronger.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
