Contract Specialist

Description

Professional Duties

• Prepare Specialist, Ancillary, ACO and miscellaneous contracts and amendments as needed.
• Negotiate and prepare routine Letters of Agreement for out-of-network services. Follow up until executed and distributed.
• Assist Director of Contracts in the analysis of specialist, ancillary, ACO and PPO contracts.
• Transcribe and process correspondence for Director of Contracts (e.g. letters).
• Maintain calendar and schedule meetings and appointments for Director of Contracts.
• Ensure AB 1455 compliance by distributing and tracking monthly and periodic reports.
• Prepare and distribute required reports, list, audits, etc.
• Maintain address labels and data bases for Specialist and Ancillary mailings.
• Facilitate and tracks PCP participation in PPOs.
• Handle communications with PPOs, PCPs and Credentialing for PPO participation.
• Assist with Network Development projects as requested.
• Create and maintain contract files and contract data bases for Specialist, Ancillary, ACO, PPO and HMOs and scan to the Document Storage System.
• Handle incoming and outgoing communications for Contracting Department.
• Assemble, file and update contract requirement documents, manuals and regulations.
• Perform other duties as assigned.
• Serve as an ambassador for Desert Oasis Healthcare and Family Hospice Care at all times and positively shape the customer experience
• Be knowledgeable about your job so that you can serve others effectively
• Help others, offering to assist (Ask, how may I help you?)
• Do your share. Do what you say you will do and take action, follow through. Be willing to pitch in and help
• Be an active listener (make eye contact, validate)
• Be accountable for your work
• Speak clearly and use understandable language (avoid medical jargon or slang)

Qualifications

• High School Diploma or equivalent. Associate's Degree preferred.
• Minimum of 10 year experience in healthcare industry without a degree, with Associate's Degree a minimum of 5 years experience in healthcare industry
• Claims, billing, contracting, or relevant work experience in a contracts department, preferred.
• Strong knowledge of Excel and MS Word.
• Ability to multi-task and work independently with minimum supervision.
• Good communication and telephone skills.
• Strong organizational skill and effective oral and written communication. Attention to detail, thoroughness and accuracy in all work.
• Positive interpersonal skills.

Physical Demands