What are the responsibilities and job description for the Sr. Provider Services Contract Analyst position at Adventist Health?
Adventist Health Glendale is looking for Sr. Provider Services Contract Analyst. We are looking for great individual who can work onsite to our location in Glendale, CA
Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of services located in the San Fernando Valley. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Glendale is known for its urban living, with easy access to dining, entertainment, shopping, amusement parks and outdoor recreation. Adventist Health Glendale is proud to be part of the thriving, diverse community since 1905.
Job Summary:
Develops and maintains a contracting system including cataloging, standardizing, measuring performance and ensuring regulatory compliance. Interfaces with executive management and acts in an advisory capacity regarding contractual and compliance requirements, client specifications, government regulations and auditing associated with physician compensation, practice acquisitions and contractual obligations. Serves as a point of contact with internal and external parties in relation to provider contract management, compliance and issues.
Job Requirements:
Education and Work Experience:
- Associate’s/Technical Degree or equivalent combination of education/related experience: Required
- Bachelor's degree: Preferred
- Five years’ healthcare experience: Preferred
Essential Functions:
- Supports the database for all existing agreements and provides communication for all changes with financial and/or budgetary impact to all appropriate internal/external stakeholders. Works on problems of moderate to diverse scope requiring some interpretation of policies and guidelines.
- Ensures support and education is provided to management regarding new and renewed contracts. Applies working knowledge of techniques, principles, theories and concepts of the discipline, staff, technologies, services and practices to complete routine/non-routine assignments.
- Provides communication to appropriate stakeholders regarding contract updates/renewals. Verifies contract development is consistent with operational capabilities. Monitors contract compliance and takes initiative to correct problem areas.
- Takes appropriate actions to facilitate the timely flow of contract documents through the approval process and ensures all appropriate approvals are obtained. Solves and escalates operational problems and technical issues; modifies existing tools or processes.
- Prepares, tracks, collects, re-papers, credentials, and audits provider contractual agreements during primary care, specialty, ancillary and hospital recruitment projects. Conducts site visits to collect contracts, credentialing information or address contractual issues.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.