Contract Specialist

1 day ago


Ontario California, United States Prime Healthcare Management Inc Full time

Job Summary:

The Contracts Coordinator will work closely with the Contract Analyst to collect necessary documentation for executing Provider contracts and Letters of Agreement (LOA) for the self-funded medical plan (EPO). This role requires a high level of responsibility, confidentiality, and discretion in applying department policies and procedures.

Key Responsibilities:

  • Collect and verify documentation for Provider contracts and LOA
  • Maintain contract records and update Provider demographic information
  • Assist with Provider communications and special projects as assigned
  • Perform other duties as required by the Corporate Director of Employee Health (EPO) and the Director of Network Development & Provider Relations (EPO)

Requirements:

  • High School Graduate or GED
  • Working knowledge of physician credentialing process and strong follow-up skills
  • Knowledge of Managed Care contracts and the contracting process
  • Working knowledge of self-funded medical plans and/or Managed Care plans
  • Computer literate in Microsoft Office Windows & Excel
  • Ability to interact professionally with physicians and vendors

Preferred Qualifications:

  • Associate degree from an accredited institution

Benefits:

Prime Healthcare offers competitive compensation and a comprehensive benefits package, including paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and other voluntary benefit options.



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