Healthcare Networks Coordinator

Culinary Health Fund; Las Vegas (NV); Hybrid; USD 35,000 - 43,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid Time-Off

401(k)

Short- & Long-term Disability

Life Insurance

Flexible Spending Accounts

Commuter Transit

Tuition Assistance

Employee Assistance Program

Job summary

UNITE HERE HEALTH in Las Vegas, NV is seeking a Contracts Administrator to support the Healthcare Network. The role focuses on handling physician contracts and amendments, building strong provider relationships, and coordinating contracting activities.

You will work with the Director of Healthcare Networks on special projects, ensure timely processing of contracts, renewals, and related documents, and help ensure compliance and efficient operations in a fast-paced environment.

Qualifications

• 1-2 years of related experience minimum.
• Some understanding of physician contracts and reimbursement required.
• Managed care experience in provider relations, provider contracting and/or provider credentialing preferred.
• Bachelor's degree or equivalent work experience required.

Responsibilities

• Develop and maintain excellent relationships with providers and vendors.
• Prepare, mail and track all contracts, including facility and physician contracts and amendments, Business Associate Agreements, Consulting Agreements and Patient-Specific Letters of Agreement.
• Communicate with providers/groups regarding contract language questions, concerns and/or language changes.
• Prepare, mail and track Request for Proposals (RFPs).
• Coordinate the provider termination process.
• Assist in the communication of new contracts, rates and amendments to internal and external customers.
• Assist Director of Healthcare Networks with special projects.
• Perform the above listed position functions independently (or with limited supervision) and within time frame defined for the specific task by Fund management.
• Sets goals and achieve measurable results.
• Contributes ideas to plans and achieving department goals.
• Exemplifies the Fund's BETTER Values and professional effectiveness dimensions in contributing to a respectful, trusting, and engaged culture of diversity and inclusion.
• Performs other duties as assigned within the scope of responsibilities and requirements of the job.
• Performs Essential Job Functions and Duties with or without reasonable accommodation.

Skills

Provider relations

Contract understanding

Managed care knowledge

Education

Bachelor's degree or equivalent

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Regular Full-Time Las Vegas, NV, US

8 days ago Requisition ID: 1736

Salary Range: $25.69 To $31.44 Hourly

UNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!

PURPOSE

The purpose of this position is to assist the department with administrative functions associated with the Healthcare Network.

ESSENTIAL JOB FUNCTIONS AND DUTIES

• Develop and maintain excellent relationships with providers and vendors
• Prepare, mail and track all contracts, including facility and physician contracts and amendments, Business Associate Agreements, Consulting Agreements and Patient-Specific Letters of Agreement
• Communicate with providers/groups regarding contract language questions, concerns and/or language changes
• Prepare, mail and track Request for Proposals (RFPs)
• Coordinate the provider termination process
• Assist in the communication of new contracts, rates and amendments to internal and external customers
• Assist Director of Healthcare Networks with special projects
• Perform the above listed position functions independently (or with limited supervision) and within time frame defined for the specific task by Fund management
• Sets goals and achieve measurable results
• Contributes ideas to plans and achieving department goals
• Exemplifies the Fund's BETTER Values and professional effectiveness dimensions in contributing to a respectful, trusting, and engaged culture of diversity and inclusion
• Performs other duties as assigned within the scope of responsibilities and requirements of the job
• Performs Essential Job Functions and Duties with or without reasonable accommodation

ESSENTIAL QUALIFICATIONS

Years of Experience and Knowledge

• 1 ~ 2 years of related experience minimum
• Some understanding of physician contracts and reimbursement required
• Managed care experience in provider relations, provider contracting and/or provider credentialing preferred

Education, Licenses, and Certifications

• Bachelor's degree or equivalent work experience required

Skills and Abilities

OTHER JOB FUNCTIONS AND DUTIES

The information contained in this job description is designed to indicate the general nature and level of work performed in this job with a certain degree of specificity, where warranted. In no instance, however, should the duties, functions, qualifications, or requirements be interpreted as all-inclusive. Management may, at its discretion, assign or reassign functions and duties to or from this job at any time, due to reasonable accommodation or other reasons. Listed requirements, skills, qualifications and abilities included have been determined to illustrate the minimal standards required to successfully perform the position.

Salary range for this position: Hourly $25.69 - $31.44. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.

Work Schedule

Monday-Friday, 7.5 hours per day (37.5 hours per week) as an onsite position, with flexibility to support additional locations and shifts as needed, as well as be on-call as needed.

We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).