Healthcare Provider Contracts & Compliance Specialist

Driscoll Children's Hospital; Corpus Christi (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Driscoll Health Plan seeks a Provider Contract Specialist to develop and manage provider contracts for Medicaid, CHIP, and LTSS. You will collaborate with the Manager of Contracting and Provider Data Management and other departments to finalize agreements and amendments, ensuring data integrity and regulatory compliance.

The role requires coordination across Credentialing, Network Strategies and Claims, handling contract templates, execution, and communications with providers in a timely manner.

Qualifications

• Requires knowledge of health care provider contracting and related processes.
• Experience with contract templates, amendment tracking, and data accuracy is expected.
• Exposure to managed care and LTSS is preferred.

Responsibilities

• Develop, monitor and manage provider contracts for Medicaid, CHIP and LTSS.
• Coordinate execution, distribution and tracking of contracts and amendments.
• Maintain contract templates and a tracking system across internal departments.
• Ensure data integrity and compliance with regulatory and policy requirements.
• Collaborate with Credentialing, Network Strategies, Claims and other teams to resolve contractual issues.

Skills

Contract management

Provider relations

Data management

Regulatory compliance

Education

Associate degree

Bachelor's degree preferred

Job description

Driscoll Health Plan seeks a Provider Contract Specialist to develop and manage provider contracts for Medicaid, CHIP, and LTSS. You will collaborate with the Manager of Contracting and Provider Data Management and other departments to finalize agreements and amendments, ensuring data integrity and regulatory compliance.

The role requires coordination across Credentialing, Network Strategies and Claims, handling contract templates, execution, and communications with providers in a timely manner.