Contracting Coordinator

MetroPlusHealth; New York (NY); On-site; USD 50,000 - 70,000; Full time

Job summary

MetroPlusHealth is seeking a Contracting Coordinator to support network development and contracting activities. Key responsibilities include preparing contracts, maintaining databases, and assisting with reporting.

The ideal candidate must have an Associate's degree and three years of relevant experience, with strong skills in Microsoft Office. Applicants should demonstrate integrity, customer focus, and excellent organizational abilities.

Qualifications

• Associate's degree required with three years of related work experience.
• Proficient in MS Office applications.
• Bachelor's degree preferred.

Responsibilities

• Provide technical administrative support for network development and contracting activities.
• Prepare contracts, amendments, and notices for execution.
• Maintain the Provider Contract database.
• Assist with monthly reporting of the Provider Contracting Department.

Skills

Integrity and Trust

Customer Focus

Functional/Technical skills

Excellent oral, written, and analytical skills

Excellent interpersonal and organizational skills

Excellent organization and project management skills

Education

Associate’s degree or equivalent education and experience

Bachelor’s degree preferred

Tools

MS Office (Word, Excel, Access)

Job description

Position Overview

The Contracting Coordinator will provide technical administrative support for all network development and contracting activities. The primary focus of the position will be preparing contracts/amendments/notices for execution and submission to internal parties; maintaining the Provider Contract database; assisting with monthly reporting of the Provider Contracting Department; and assisting with special projects as needed.

Scope Of Role & Responsibilities

• On daily basis - in Salesforce/CLM - review cases assigned and new leads submitted to the Provider Contracting group and assess/respond and/or assign to CAs per department’s policies and procedures.
• On daily basis, reconcile lead status and open credentialing cases between CACTUS and Salesforce to ensure that processing of new provider leads is as timely as possible.
• On weekly basis, generate report from Out of Network (OON) Auth Grid to identify SCAs managed/handled by OON Negotiation team by services/providers and status.
• On daily basis, review the weekly Pending Contracts and OON Auth reports to ensure updates are maintained and entered consistently; reconcile any reporting errors and make updates in Credentialing system or OON Auth Grid as needed.
• Assist with the generation of monthly Provider Network reports as well as ad hoc reports as needed/requested.
• Assist with maintenance of all databases utilized by the contracting department.
• On daily basis, provide the Director of Contracting with volume in email inboxes for Provider Terminations/SCA/OON Provider and Contracting Updates and assist with management of inboxes.
• Assist OON negotiators with tracking requests for signature to CMO, CFO and OON Providers.
• Working with Contract Administrators and OON Negotiators – prepare contract or LOA/SCA load forms for their submission along with contract supporting documentation (relevant contract pages, SCAs and W-9 form) to responsible internal parties for contract set up in Core System.
• Enter newly executed provider contracts and amendments to contracts in the Contracting Database.
• File and maintain contract files, including scanning of Provider Contracts into online Contract Repository.
• Make the appropriate systems updates to reflect provider contract status. Update contracting information in the Contracting Database (amendments, terminations, etc.).
• Run weekly communications grid as scheduled.
• Reconcile and distribute department mail and track termination return receipts. Scan documents/mail into appropriate folders.
• Work on special projects as needed, and assist in all areas of the Provider Contracting Department.

Minimum Required Education, Training & Professional Experience

• Associate’s degree required, and a minimum of three years’ related work experience required; or
• A satisfactory equivalent combination of education, training, and experience.
• Bachelor’s degree preferred.
• Proficient in computer applications including MS Office (Word, Excel, and Access).

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Excellent oral, written, and analytical skills.
• Excellent interpersonal and organizational skills.
• Adapt easily to ever-changing and stressful environment.
• Excellent organization and project management skills.