Contract Coordinator

MemorialCare; Colonia Juarez (CA); Hybrid; USD 35,000 - 50,000; Full time

Benefits offered by this job

Health insurance

Benefits program

Hybrid work model

Job summary

MemorialCare in Fountain Valley, CA, is seeking a Contract Coordinator in a hybrid full-time role. You will support contract development, execution, and tracking, coordinating LOAs and reimbursement terms with Utilization Management and Network Development while interfacing with physicians and internal departments.

Essential duties include preparing contract documents, running reports, securing signatures, and maintaining contract files.

Qualifications

• Must have at least 2 years experience in IPA/health plan environments.
• Strong written and verbal communication skills.
• Experience interacting with providers, health plans, members and vendors.
• Ability to work independently with limited supervision.
• Ability to prioritize high-volume workload to meet deadlines.
• Interpersonal skills across organization levels.
• Proficiency in Word, Excel, Outlook; PowerPoint; complex mail merges; Access is a plus.

Responsibilities

• Assist Contracting Manager and Director in preparing contract documents.
• Run reports and analysis.
• Secure signatures from all parties.
• Send executed agreements to Provider.
• Provide contract detail information to appropriate departments.
• Set up and manage tracking of contracts through each stage of the contract process.
• Management of all contract elements and files.
• Negotiate, within cost targets, and track Letter of Agreements.
• Ensure provider contract files are complete and current.
• Support credentialing process as needed.
• Inform key internal departments of new contract terms.

Skills

Communication skills

Independent work

Time management

Microsoft Office

Epic CRM exposure

Education

High school diploma or equivalent

Bachelor's degree preferred

Tools

Epic CRM

Microsoft Office Suite

Job description

Title: Contracts Coordinator

Location: Fountain Valley, CA / Hybrid

Department: Contracting

Status: Full-Time

Shift: Days (8hr)

Pay Range*: $25.22/hr - $36.57/hr

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

The Contract Coordinator will support and coordinate all aspects of contract development, execution, and tracking including drafting contracts, as necessary. Work with Utilization Management in preparing and negotiating Letter of Agreements within cost targets. Work with Network Development Specialists in tracking and prioritizing contracts. Interface with physicians, physician offices, and internal departments to ensure timely execution of contracts and notification to internal departments of reimbursement terms.

Essential Functions and Responsibilities of the Job

1. Assist Contracting Manager and Director in preparing contract documents.

2. Run reports and analysis.

3. Secure signature from all parties including Provider, Director and Senior Management.

4. Send executed agreements to Provider.

5. Provide contract detail information (i.e., reimbursement page) to appropriate departments, including Directory Support and Provider Portal Analyst.

6. Set up and manage tracking of contracts through each stage of the contract process.

7. Management of all contract elements and files.

8. Negotiate, within cost targets, and track Letter of Agreements

9. Ensure provider contract files are complete and current.

10. Support credentialing process as needed.

11. Inform key internal departments of new contract terms i.e. CAP and FFS rates.

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more... Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Minimum Requirements

Qualifications/Work Experience:

• Minimum of two (2) years experience at IPA, health plan or related environment.

• Strong communication skills, both written and verbal.

• Experience working with providers, health plans, members and vendors.

• Must be able to demonstrate the ability to work independently with minimal supervision.

• Must be able to handle high volume work load and effectively prioritize work to meet changing deadlines.

• Must have strong interpersonal communication skills and the ability to interact effectively at all levels within the organization.

• Must be proficient in Microsoft Office applications including Word including complex mail merges, Power Point, Excel and Outlook. Experience with Access a plus.

• Experience with Epic CRM preferred or other CRM experience will be considered.

Education/Licensure/Certification:

• High school diploma or equivalent is required; Bachelor’s degree preferred.