The Contracts Specialists Under the Supervision of the Senior Contracts Manager will be responsible for maintaining legal documents, updating, and maintaining Wellsky databases and contact lists, assisting in the coordination of provider meetings, and provider surveys, keeping abreast of the agency’s obligations, with consideration to contract compliance.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Provide technical assistance related to the implantation, operation, and overall management of Provider Contracts and Memorandum of Understanding (MOUs).
• Coordinate, prepare materials for, and participate in provider monitoring and other provider activities to ensure contractual compliance.
• Review and update the WellSky provider contact list to ensure information is accurate.
• Monitor and update as required the Rate Wizard in WellSky to ensure rate changes in service orders, service deliveries, and care plans are current.
• Maintain an accurate list of provider contacts and provider services, languages, coverage towns, and rates listing.
• Respond to phone calls and other questions aligned with any/all aspects of the contract which may include services rendered and billing inquiries.
• Update the Senior Care Organizations (SCOs) provider list with billing Current Procedural Terminology (CPT) codes and communicate with the appropriate SCO provider with updates. 
• Prepare and Process MassHealth FEW provider applications at the time of the renewal.
• Run Office of Inspector General (OIG) and General Services Administration (GSA) monthly checks on providers and maintain a record of the monthly checks.
• Attend External meetings relating to Provider Contracts. This includes the Boston Consortium, State Contracts Managers meetings, and other relevant meetings as an agency representative and take meeting minutes.
• Coordinate and present at annual providers’ meetings.
• Work on special projects as assigned.

QUALIFICATIONS:

• Outstanding written and verbal communication skills including the ability to communicate effectively across all levels of the organization.
• Excellent interpersonal skills and the ability to develop close working relationships and work collaboratively with internal and external customers.
• Ability to work independently with minimal supervision.
• Ability to function under pressure, manage multiple ongoing projects and meet deadlines.
• Ability to be flexible, open, and responsive to ongoing industry changes.
• Superior organizational and project management skills and attention to detail.
• Strong customer focus, a passion for producing high-quality work.
• Proficient in Microsoft Word, Excel, and PowerPoint.
• Working knowledge of current State Home Care Program regulations, policies, and procedures is a plus.

EDUCATION, SKILLS, AND EXPERIENCE:

• Bachelor’s degree in business management, Office Management Minimum of 1-2 years of related work experience in Elder Services or health care environment preferred.
• Will be considered 4-5 years of experience in place of education requirement.

PHYSICAL REQUIREMENTS OF THE JOB:

• Ability to lift and carry objects frequently weighing up to 10 to 15 pounds.
• Ability to climb stairs.
• Ability to travel to the community to perform visits at consumers’ homes.
• Work requires regularly standing, stooping, and bending.