Healthcare Plans Contract Specialist

Specialty Care Rx; Orange (CA); Hybrid; USD 98,000 - 130,000; Full time

Job summary

A leading healthcare company in Orange, CA is seeking a Healthcare Plans Contract Specialist for a hybrid role. This position involves providing administrative support during the contracting process, ensuring the integrity of various documents, and maintaining strong relations with partners. Ideal candidates will have 3+ years of experience in healthcare contracting and a proficiency in Microsoft Office skills.

Qualifications

• Minimum 3 years' experience in medical claims, contracting or provider relations.
• Proficient in Microsoft Office (Excel, Word, Access).
• Ability to effectively communicate in English.

Responsibilities

• Provide administrative support throughout the contracting process.
• Maintain integrity of contract files and templates.
• Monitor and track contract negotiations.

Skills

Communication

Analytical Skills

Attention to Detail

Multi-tasking

Education

3 years' experience in healthcare

Tools

Microsoft Office

Job description

Healthcare Plans Contract Specialist (Hybrid Position)

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Healthcare Plans Contract Specialist (Hybrid Position)

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Position Summary:

Provide administrative support throughout the contracting process. Perform duties to ensure and maintain the integrity of BMR Partners and contract templates and the integrity of the contract files. Develop and maintain strong relations internally and externally to support the contracting process.

Description

Position Summary:

Provide administrative support throughout the contracting process. Perform duties to ensure and maintain the integrity of BMR Partners and contract templates and the integrity of the contract files. Develop and maintain strong relations internally and externally to support the contracting process.

This is a hybrid position requiring a minimum of three in-office days a week.

Essential Duties & Responsibilities

• Maintain integrity of contract templates, contract files, correspondence templates,
• Prepare and execute contract documents, i.e. initial application, credentialling application, renegotiations.
• Monitor and track progress of all contract negotiations.
• Responsible for quality control process of new and revised documents.
• Create and maintain payor contract renewal calendar to insure timely renegotiations.
• Conduct research to assist contracting process.
• Assists in scheduling and maintaining the annual and ad-hoc health plan meeting calendars, preparing meeting agendas, materials and follow up items.
• Serves as a communication link between payors and Company.
• Develop, maintain and distribute custom contract matrixes.
• Investigate and problem-solve concerns relating to contracts.
• Other duties as assigned.
  
  

Requirements

Education and Experience:

The individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Minimum 3 years' experience in healthcare such as medical claims, medical front/back office, contracting or Provider Relations preferred.
• Enjoys working in both individual and team settings.
• Must be able to work independently, providing management with status updates.
• Ability to effectively communicate in English, both verbally and in writing.
• Proficient in Microsoft Office skills (Excel, Word, Access, etc.)
• Multi-task; establish priorities.
• Self-starter, resourceful and able to execute projects in a fluid and fast-paced environment.
• Good communication skills
• Strong analytical skills
• Attention to detail.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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