Contract Administrator
2 days ago
Job Title: Contract Specialist
Job Summary:
The Contract Specialist will be responsible for building and maintaining positive working relationships between their team, Plan, and other stakeholders. This role requires a strong understanding of contract administration, provider record management, and project management skills.
Key Responsibilities:
- Ensure contract data and documents are represented correctly in all plan operating systems.
- Coordinate resolution of contract administration issues relating to loading of contracts.
- Audit contract documents and provider records for completeness and accuracy.
- Manage and monitor Excel reports for projects and other assignments.
- Swiftly align contract documents to provider records in operating systems with 95% accuracy.
- Swiftly create contract records in the contract management system with 95% accuracy.
- Monitor electronic contract files and ensure Plans are adhering to current policies and procedures for records management.
- Escalate requests contrary to established business processes or contract language for resolution.
- Identify and report compliance issues in accordance with Plan policy and procedure.
- Work with all departments to develop and execute AmeriHealth and Plan strategies as needed.
Requirements:
- 3 years Medicaid experience preferred; 1 year in a Provider Services position.
- 5 years in the managed care/health insurance industry.
- Previous experience working with healthcare providers.
- Superior systems navigation skills.
- Excellent knowledge of contract administration and provider record management.
- Superior ability to work independently and manage projects.
- Strong assessment and problem-solving skills.
- Proficient with office software applications.
- Ability to prioritize and manage multiple tasks simultaneously.
- Detail oriented.
- Excellent verbal and written communication skills.
- Effective interpersonal skills.
- Effective organizational skills.
- Effective project management skills.
- Effective presentation skills.
- Effective leadership skills.
Education: Bachelor's Degree or equivalent work experience.
Language: English Read Write Speak.
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