Contracts Analyst

Prime Healthcare; Ontario; On-site; CAD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Contracts Analyst to manage physician and provider contracts. This full-time, in-office role involves tracking contract processes and ensuring confidentiality while interacting with medical professionals. Ideal candidates will have a high school diploma and knowledge of medical plans, with opportunities for growth in a supportive environment.

Benefits

Paid time off

401K

Medical/dental/vision coverage

Tuition reimbursement

Qualifications

• High School Graduate or GED required.
• Knowledge of medical plans and contracts necessary.
• Experience with self-funded medical plans preferred.

Responsibilities

• Originates and maintains physicians and providers contract packets.
• Tracks submission and approval processes for contracts.
• Communicates effectively in writing and verbally.

Skills

Knowledge of physician credentialing

CPT codes

ICD-10 codes

Medicare guidelines

Managed Care contracts

Proficiency in Microsoft Office

Professional interaction skills

Education

High School Graduate or GED

Associate's degree

Job description

Join to apply for the Contracts Analyst role at Prime Healthcare.

Prime Healthcare is an award-winning health system headquartered in Ontario, California. It operates 51 hospitals and over 360 outpatient locations across 14 states, providing more than 2.5 million patient visits annually. With nearly 57,000 employees and physicians, it is one of the nation's leading health systems. Eighteen hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. The organization is actively seeking new members to join our corporate team.

Responsibilities

• Originates and maintains physicians and providers contract packets, including Letters of Agreement (LOA).
• Tracks submission and approval processes, maintains contact files, and amends contracts as needed for the self-funded medical plan (EPO).
• Ensures confidentiality and handles sensitive information with discretion.
• Communicates effectively in writing and verbally.
• Expands provider network and makes management recommendations for contracting gaps.
• Performs special projects as assigned by the Corporate Director of Employee Health (EPO).

Qualifications

Required:

• High School Graduate or GED.
• Knowledge of physician credentialing, CPT, ICD-10 codes, Medicare guidelines, and Managed Care contracts.
• Experience with self-funded medical plans and/or Managed Care plans.
• Proficiency in Microsoft Office.
• Professional interaction skills with physicians and vendors.

Preferred:

• Associate's degree from an accredited institution.

Additional Information

This is a full-time, in-office role. The estimated compensation range is $21.00 to $29.12 per hour, depending on experience and qualifications. Prime Healthcare offers competitive benefits including paid time off, 401K, medical/dental/vision coverage, tuition reimbursement, and more.

Other Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Research, Analyst, and Information Technology