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Contract Support Specialist

2 months ago

Phoenix, United States TriWest Healthcare Alliance Full time

**Profile**:
**This is a remote position based in Arizona and Texas only.**

**Job Summary**

Coordinates incoming correspondence in Provider Services; including reviewing and researching the issue/request, maintaining a log of all requests received, and electronically distributes all requests to the appropriate department/staff within expected timeline(s). Ensures all provider agreements received in Provider Services are appropriately and timely scanned/imaged into the contract management system; including reviewing the agreement for any redlined changes, maintaining a log of all agreements received and quality controls the agreement image.

**Education & Experience**

**Required**:

- High School Diploma or GED
- 2 years of varied responsible experience with computer database programs

**Preferred**:

- 2 years data entry experience
- Experience using provider data management system and/or contract management system(s)
- Experience working for a managed care program or health care provider

**Key Responsibilities**
- Effectively communicate through writing and/or by phone when contracting internal and external customers in order to triage and bring resolution to incoming workload.
- Review/research all contact notes receives in Provider Services; electronically distributes to appropriate department/staff within expected timeline(s).
- Review/research all incoming inter-office mail and external correspondence for provider data correction requests and distribute to appropriate department/staff.
- Reviews/researches all provider agreements received in Provider Services for accuracy and completeness, identifying any inappropriate redlined changes. Recognize issues with agreements and determine appropriate handling.
- Maintains a log of all provider agreements received in Provider Services.
- Scans/images all provider agreements received in Provider Services; applies quality controls to ensure image quality.
- Assist with development and updating of protocols and desk procedures.
- Triaging and tracking issue resolution to completion.
- Perform other duties as assigned.

**Competencies**

**Commitment to Task**:Ability to conform to established policies and procedures; exhibit high motivation.

**Communication / People Skills**:Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.

**Organizational Skills**:Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

**Problem Solving / Analysis**:Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.

**Technical Skills**:Thorough knowledge and complete understanding of the credentialing process and requirements; proficient with Word, Excel, Visual Cactus 3.0, and the ability to produce reports through querying; working knowledge of the VA policies and procedures outlined in the VA Operations manual, VA Policy Manual, DoD Regulations, and the TriWest Central Region RFP.

**Working Conditions**

**Working Conditions**:

- Availability to cover any work shift
- Works within a standard office environment
- Extensive computer work with prolonged periods of sitting
- Department of Defense security clearance

**Company Overview**:
**Taking Care of Our Nation’s Heroes.**

**It’s Who We Are. It’s What We Do.**

Do you have a passion for serving those who served?

**Join the TriWest Healthcare Alliance Team We’re On a Mission to Serve®**

Our job is to make sure that America’s heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

**DoD Statement**:
Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

**Benefits**:
We’re more than just a health care company. We’re passionate about serving others We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

- Medical, Dental and Vision Coverage
- Generous paid time off
- 401(k) Retirement Savings Plan (with matching)
- Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
- Tuition reimbursement
- Paid volunteer time

**Equal Employment Opportunity**: