Provider Contracts Specialist: Medicaid & LTSS

20 Driscoll Children's Health Plan; Corpus Christi (TX); On-site; USD 60,000 - 90,000; Full time

Job summary

Driscoll Health Plan is seeking a Contract Specialist to develop, monitor, and manage provider contracts for Medicaid, CHIP, and LTSS. You will coordinate contract execution, maintain templates, and ensure data integrity across multiple departments.

Ideal candidates will have 2+ years in healthcare contracting, an associate degree, and familiarity with LTSS enrollment and regulatory requirements. On-site role in Corpus Christi, TX with opportunities to collaborate across teams.

Qualifications

• Two years of healthcare provider contracting or related contracting experience.
• Minimum one year experience in healthcare provider relations, network management or related work.

Responsibilities

• Maintains confidentiality at all times.
• Coordinates receipt and processing for provider contracts and related documents.
• Collaborates on preparation, execution, distribution and tracking of new or re-contracting agreements.
• Researches legal names and enrollment status with TMHP as part of contracts.
• Ensures LTSS providers are enrolled with HHSC at enrollment time.
• Vetting to meet minimum credentialing for LTSS providers prior to contracting.
• Coordinates issuance of executed contracts with Credentialing, Network Strategies, Claims, and other departments.
• Lamiliar with contracting language and policy requirements to ensure compliance.

Skills

Contracting experience

Healthcare experience

Education

Associate degree

Bachelor's degree preferred

Job description

Driscoll Health Plan is seeking a Contract Specialist to develop, monitor, and manage provider contracts for Medicaid, CHIP, and LTSS. You will coordinate contract execution, maintain templates, and ensure data integrity across multiple departments.

Ideal candidates will have 2+ years in healthcare contracting, an associate degree, and familiarity with LTSS enrollment and regulatory requirements. On-site role in Corpus Christi, TX with opportunities to collaborate across teams.