Contracts Coordinator II

Partnership HealthPlan of California•Fairfield, CA

14d•$35 - $43

About The Position

To assist and support the Director with development, implementation, and maintenance of professional, facility, and ancillary contracts for the Partnership provider network. The Contracts Coordinator II is responsible for, Contracting Department tracking, and reporting provider network activities, including of scanning contract documents, mailing or emailing network notices related to contracting, initiating contracts and supporting daily contracting activities as assigned by Director. Provide administrative support to Director as needed.

Requirements

H.S. Diploma or equivalent; three (3) years of customer service experience or any combination of education and experience which would provide an equivalent background required.
Requires strong oral, written and interpersonal communication skills, problem-solving skills, and analytical and critical thinking skills.
Knowledge of managed care, contracting, policies, and procedures.
Requires intermediate to advanced skills with MS Word, Excel, Powerpoint and Visio.
Must be computer proficient.
Eye for detail and accuracy.
Excellent organization skills with ability to prioritize assignments, maintain effective filing systems, and meet deadlines.
Ability to use good judgment and handle sensitive issues with tact and diplomacy.
Ability to use a computer keyboard and 10-key calculator.
More than 80% of work time is spent in front of a computer monitor.
When required, ability to move, carry, or lift objects weighing up to 30 lbs.

Nice To Haves

Bachelor’s degree preferred.
Prefer three (3) years’ experience in a business segment servicing providers with exposure to network management or network development and managing of healthplan or payor provider agreements.
Prefer experience with medical provider contracting using various reimbursement models including capitation, fee-for-service, per diem, DRG, pay for performance.

Responsibilities

As assigned by the Director, support daily management of provider contracting activities for clinics, safety net providers, physicians, physician groups, hospitals, free-standing facilities, ancillary, and other provider types for all Partnership programs.
Assist with obtaining contract signatures, contract renewals, and amendments from CEO, COO, CFO or designee.
Ensure all contracts are scanned and stored to CONTRAXX® and/or internal Partnership network drives.
Distribute amendments or new agreements to key departments and staff within Partnership per Partnership procedures and protocols.
Process and respond to requests from external potential providers via phone or written correspondence.
Monitor the contracts dept. email in-box and facilitate replies to inquiries.
Respond to general questions regarding the status of contract processing.
Fulfill requests for contract copies from internal and external customers as approved by Director.
Support Director with contract projects and coordinate contracting activities as it relates to Plan initiatives, DHCS requirements, other Regulatory mandates, and Credentialing activities.
Actively participate in workflow and process improvement activities.
Assist with collating information for all regulatory projects and internal/external audits.
Under direction from the Director, initiate unique Letters of Agreements (LOA) when requested.
Ensure all contracts, amendments, documents are properly routed using the PR department workflow procedures or as assigned by Director.
Use Partnership WorkFront, CONTRAXX® or other designated software for distribution of agreements, LOAs, other contracting documents.
May act as a point of contact for Contracting reports of contracting activities per PR dept. requirements for, Director, Senior Director and COO.
Work closely with PR Systems, Data and Audit staff to ensure accuracy of contractual setups in Partnership systems.
Monitor and track assigned contracting activities according to PR department established timelines and workflow processes.
Support the ongoing maintenance of provider template contracts, in collaboration with Contract Manager and under the guidance of Director to ensure contract compliance.
Follow up on outstanding contracting activities via phone or written correspondence.
Attend internal network planning meetings as assigned by Director.
Other duties as may be assigned.
Back up to PR Contracting colleagues when needed
Participate in special projects as assigned.