Contract Support

Prominence Health; Reno (NV); On-site; USD 65,000 - 85,000; Full time

Job summary

Prominence Health in Reno, NV seeks a Contract Support Analyst to administer and implement provider agreements under the Contract Manager. You will analyze fee schedules and contracts to assist with claim payments and system setup, and serve as the liaison across departments to resolve contract and claim disputes.

The role emphasizes auditing contract builds, maintaining the system as agreements renew and new ones are executed, with experience in healthcare provider contracting as essential.

Qualifications

• Minimum 3 years' experience in healthcare such as medical claims, contracting and/or Provider Relations required
• Ability to effectively communicate in English, both verbally and in writing
• Proficient in Microsoft Office skills (Excel, Word, Access, etc.)
• Experience with provider contracting/relationships preferred

Responsibilities

• Administer and implement provider agreements to ensure compliance with terms
• Serve as primary contact for Contracting Department
• Analyze and interpret fee schedules and provider contracts for claim payments and system setup
• Assist with contract resolution related to contract/claim disputes
• Audit contract builds and maintain the system as agreements renew and new ones are executed

Skills

Analytical skills

Communication skills

Teamwork

Multitasking

Independence

Self-motivation

MS Office

Education

High school diploma or equivalent

Technical school/1 year college

Bachelor’s degree (preferred)

Bachelor’s in business administration or health services (preferred)

Tools

QNXT

Impact

Claim processing systems

Job description

Responsibilities

Job Summary: Under direction of the Contract Manager the Contract Support Analyst is responsible for administration and implementation of provider agreements to ensure parties comply with terms and condition of such agreements. This position serves as the point of contact for the Contracting Department and requires an in-depth knowledge and understanding of provider contracting. The ability to analyze and interpret fee schedules and provider contracts in order to assist with contract resolution as it relates to claim payment and system set-up. To the extent necessary, this position will work with different departments and personnel to accomplish resolution to contract/claim disputes. This position is responsible for auditing of contract builds and maintenance of the system as agreements renew and new agreements are executed. Experience in the healthcare field with a focus on provider/contracting data is essential.

Qualifications and Requirements

• High School Graduate/Equivalent
• Technical School/1 Year College
• Bachelor’s Degree, preferred
• Bachelor’s degree in business administration or health services preferred. Education may be substituted for equivalent years of experience.
• Minimum 3 years' experience in healthcare such as medical claims, contracting and/or Provider Relations required
• Ability to effectively communicate in English, both verbally and in writing.
• Proficient in Microsoft Office skills (Excel, Word, Access,etc.)
• Enjoys working in both individual and team settings
• Must be able to work independently; providing management with status updates
• Multi-task; establish priorities
• Self-starter, Resourceful and able to execute projects in a fluid and fast paced environment
• Good communication and relationship skills
• Strong analytical skills
• Attention to detail
• Experience in working with QNXT, Impact and/or any claim processing application is preferred

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.