Contract Coordinator

2 weeks ago

Orange County, United States Astiva Health, Inc Full time

SUMMARY: The Contract Coordinator is responsible for assisting the Contracting and Legal Department for the coordination and review of all contracts. The Contract Coordinator is also responsible for implementing, organizing, and maintaining contract related documents. This is a collaborative role requiring critical thinking skills, independence, a strategic mindset, and attention to detail.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.Manage and maintain Astiva’s contracts, including all day-to-day data entry, permissions/access and reporting, in an efficient, accurate and exceptionally organized manner.Review a wide range of commercial contracts and distill key pieces of data (e.g., expiration date and type, restrictive provisions, and assignability).Understand the contracting process, policies and procedures, requirements, fee schedule, including contracting support for ancillary services contracts, contract implementation and other duties as required.Manage reporting process for communicating and tracking contract expirations/renewals and additional reporting obligations to all areas of the business.Serve as liaison between the Contracting/Legal Department and other departments including, fielding and responding to various requests from the business and external parties.Manage electronic signature processes and contract workflows for the Contracting/Legal Department.Assist in developing the direct network of providers.Make recommendations to department leadership for improvement of any and all procedures and systems at Astiva Health.Other duties may be assigned.QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, including regular and consistent attendance. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.EDUCATION and/or EXPERIENCE:Bachelor’s degree from an accredited college or university with a focus on Business Administration, Healthcare Administration or Finance or equivalent combination of education and experience.Be able to work effectively with all levels of employees and management.Excellent written and verbal communication skills with experience presenting to various audiences.Have a practical, business-oriented approach to problem-solving and be able to effectively work with teams to meet business needs.Able to manage multiple priorities in a fast-paced environment.Preferred but not requiredMinimum of one (1) year of experience in Medical Group/IPA, Managed Care, and HMO.Minimum of one (1) year of experience in provider network development and/or provider network management capacity, account management, or provider relations experience in a managed care organization.In-depth knowledge of contracting, reimbursement, credentialing, and operations, and must be proficient with MS Office Suite and other database software.Knowledge of Medicare regulations, NCQA, HIPPA complianceBENEFITS:401(k)Dental InsuranceHealth InsuranceLife InsuranceVision InsurancePaid Time OffCatered lunches

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