Contract Support Specialist

Prominence Health; Reno (NV); On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Loan Forgiveness Program

Competitive compensation

Medical, Dental, Vision

Job summary

Prominence Health is seeking a Contract Support Analyst to administer provider agreements and ensure compliance. This role serves as the Contracting Department's point of contact and requires deep knowledge of provider contracting and fee schedules.

The analyst analyzes contracts to support claim payment resolution and coordinates with multiple departments to finalize contract/claim disputes. Auditing contract builds and data maintenance are key responsibilities in a dynamic health care setting.

Qualifications

• Minimum 3 years' experience in healthcare such as medical claims, contracting and/or Provider Relations.
• Proficient in Microsoft Office (Excel, Word, Access).
• Excellent written and spoken English communication.

Responsibilities

• Administer and implement provider agreements; ensure compliance with terms and conditions.
• Serve as the primary contact for the Contracting Department and provide contract support.
• Analyze fee schedules and provider contracts to assist with claim payment resolutions.
• Audit contract builds and maintain system data as agreements renew or are executed.

Skills

Analytical skills

Communication (oral/written)

Multi-tasking

Self-starter

Team collaboration

Education

Bachelor’s degree preferred

Bachelor’s in business administration/health services preferred

Tools

QNXT

Impact

Claim processing app

Job description

Responsibilities

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

Responsibilities

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

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.

Benefit Highlights

• Loan Forgiveness Program
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

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.