Contract Coordinator (Hybrid Remote – Southern California)

Alignment HealthcareOrange, CA
Hybrid

About The Position

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking a Contract Coordinator to join the Network Management team. Reporting into the Sr. Manager, Network Management, this role plays a critical part in supporting contracting and operations by owning the coordination and routing of contracts, amendments, and provider changes. This role sits at the center of contracting operations, partnering cross-functionally with network management, credentialing, and internal stakeholders to ensure contracts are processed accurately, efficiently, and on time. It’s an ideal opportunity for someone who is detail-oriented, highly reliable, and thrives in a fast-paced, team-driven environment — someone who takes ownership, follows through without constant oversight, and can quickly learn and navigate systems and processes. What success looks like: You consistently route contracts and updates accurately and on time, proactively follow up without being prompted, and become a reliable go-to partner across teams.

Requirements

  • Minimum (1) year of experience in provider relations, customer service with an HMO or IPA, medical group, institutional provider, contracting, or comparable experience.
  • High School Diploma or GED.
  • Solid analytic and quantitative skills.
  • Solid teamwork and interpersonal skills.
  • Proficient with MS Word, Excel and PowerPoint
  • Professional phone presence.
  • Ability to complete assignments within a given timeframe.
  • Solid attention to detail.
  • Effective written and verbal communication skills; ability to establish and maintain constructive relationships with diverse members, management, employees, and vendors.
  • Ability to work independently in a remote environment, manage priorities, and follow through on tasks without constant direction.
  • Demonstrated ability to learn new systems, processes, and workflows quickly.
  • Minimum typing speed of 35 WPM using standard two-hand typing.
  • Able to prioritize multiple tasks; advanced problem-solving; able to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
  • None

Nice To Haves

  • (3) years of experience in provider relations, customer service with an HMO or IPA, medical group, institutional provider, contracting, or comparable experience.
  • Bachelor's degree.
  • Access database proficiency (preferred)

Responsibilities

  • Gather and validate information required for provider contracts, rosters, W-9s, and credentialing information.
  • Prepare contracting routing forms (CRFs) and notice(s) of change (NOC) forms for the operationalization of new contracts, amendments, and provider changes.
  • Coordinate with the credentialing department to ensure new providers are approved by Alignment Healthcare in a timely manner.
  • Proactively follow up with providers on the receipt of signed contracts and amendments to ensure timely execution.
  • Assist with the negotiation and processing of patient specific letters of agreement (LOAs), as needed.
  • Assist with contract and operations research needed for day-to-day activities as well as key initiatives.
  • Assist with mailing, follow up calls, reporting, and tracking to support network expansion opportunities.
  • Maintain the alternative language library for contracting.
  • Maintain and ensure accuracy of contract trackers and databases to keep all contract provisions and terms current.
  • Assist with contract routing as needed.
  • Prepare and organize standardized reports to assist network management with monitoring contracting and operations performance and activities.
  • Support standard operating procedure (SOP) and policy generation.
  • Support the development and distribution of communications to internal departments and external stakeholders.
  • Assist with scheduling meetings, meeting preparation, minutes, and logging projects.
  • Other projects and department administrative duties as assigned.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

1-10 employees

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