Healthcare Contracting Specialist

2 weeks ago


Alhambra, California, United States AHMC Healthcare Full time
Contracting Specialist Job Description

Overview:

The Contracting Specialist plays a crucial role in negotiating and managing agreements with ancillary providers on behalf of AHMC Healthcare. This position requires strong communication and critical thinking skills to effectively negotiate and process agreements.

Responsibilities:

  • Negotiates and processes ancillary services agreements
  • Negotiates and processes one-time agreements (MOUs, LOAs, etc.) for our network cases
  • Provides contracting support to the Managed Care Department
  • Develops and maintains relationships with ancillary providers, hospital, and group/IPA Case Managers
  • Assists with the resolution of provider disputes with ancillary agreements
  • Oversees the distribution of Managed Care contracts throughout the company
  • Abides by AHMC Code of Conduct, Policy and Procedures, and HIPAA compliance
  • Performs additional duties as assigned

Qualifications:

  • A minimum of 18 months Managed Care Contracting experience preferred
  • Proficient in Microsoft Excel and Word
  • Thorough understanding of the healthcare market and Managed Care operations
  • Strong personal communication and critical thinking skills

Education/Certification/License:

A Bachelors Degree from an accredited college is preferred or a combination of work-related experience and high school diploma.

AHMC Healthcare Overview:

AHMC provides consulting services to seven acute care hospitals, including AHMC Anaheim Regional Medical Center, Garfield Medical Center, Greater El Monte Community Hospital, Monterey Park Hospital, Parkview Community Hospital, San Gabriel Valley Medical Center, Seton Medical Center, and Whittier Hospital Medical Center. The facilities are Medicare and Medi-Cal certified and accredited by the Joint Commission on Accreditation of Healthcare Organizations.



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