Contracts Analyst

Prime Healthcare•Ontario, CA

1d•Onsite

About The Position

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0 million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Requirements

High School Graduate or GED.
Working Knowledge of physician credentialing process, and strong follow-up skills.
Knowledge of CPT, ICD-10 codes, Medicare guidelines, and Managed Care contracts.
Working knowledge of self-funded medical plans and/or Managed Care plans.
Computer literate in Microsoft Office Windows.
Ability to interact professionally with physicians and vendors.

Nice To Haves

Associate's degree from an accredited institution.

Responsibilities

Originates and maintains physicians and providers contract packets, Letter of Agreements (LOA), tracks submission and approval process, maintains and updates contact files and amends contracts as appropriate for the self-funded medical plan (EPO).
Requires a high level of responsibility, confidentiality, judgment and discretion in applying department policies, procedures and handling confidential information.
Communicate effectively, in writing, verbally and via telephone.
Expand our network of providers, and make recommendation for management for lacking or contracted providers within Prime network.
Performs special projects as assigned by the Corporate Director of Employee Health (EPO).