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PRINCIPAL RESPONSIBILITIES :
Under general supervision of the Manager, Networks and Contacting, the Contract Specialist coordinates the day-to-day work processes associated with the contracting process.
This includes developing, maintaining and executing contracts (new and revised) as well as changes to DOFRs (Divisions of Financial Responsibilities) affiliated with delegated groups.
This position also manages the receipt and development of Letters of Agreement (LOAs).
This position maintains a close working relationship with the Compliance, Finance, Claims, Medical Services, Credentialing, Data Validation and IT departments regarding the status and specifics of provider contracting status and contract contents including payment rates.
The Contract Specialist is also responsible for receiving and handling changes in information for non-contracted providers.
Principal responsibilities include :
Communicate needed changes to appropriate departments in a timely manner to ensure proper claims processing and system configurations.
Negotiate and complete Letter of Agreements (LOA) for non-contracted providers in a timely manner. Receive requests, initiate and complete LOAs when rates are typical for area or historical for a particular provider.
Escalate non-standard rates to Director & Manager for negotiation advice and / or handling. Maintain rate templates.
receive and screen inquiries, answer questions, resolve routine administrative problems, and / or refer to appropriate department and follow up for resolution.
This may include questions from external parties or internal staff such as Claims, Member Services, and Complaints and Resolutions.
Coordinate communication with providers when changes to practice and / or vendor information are received. This includes, but is not limited to, terminations, address, phone, fax and TIN changes.
Ensure that appropriate written documentation of the requested change is on file.
ESSENTIAL FUNCTIONS OF THE JOB
PHYSICAL REQUIREMENTS
Number of Employees Supervised : 0
MINIMUM QUALIFICATIONS :
EDUCATION OR TRAINING EQUIVALENT TO :
Bachelor's Degree or equivalent work experience.
MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE :
SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE) :
SALARY RANGE $33.46 - $50.20 HOURLY
The Alliance is an equal opportunity employer and makes employment decisions on the basis of qualifications and merit. We strive to have the best qualified person in every job.
Our policy prohibits unlawful discrimination based on race, color, creed, gender, religion, veteran status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition, genetic characteristic, sexual orientation, gender identity or expression, or any other consideration made unlawful by federal, state, or local laws.
M / F / Vets / Disabled.
Last updated : 2024-04-25
Full Time
$104k-132k (estimate)
04/27/2024
07/25/2024
The job skills required for Contract specialist include Microsoft Office, Written Communication, Organizational Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Contract specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Contract specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Contract specialist positions, which can be used as a reference in future career path planning. As a Contract specialist, it can be promoted into senior positions as a Contracts Administrator IV that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Contract specialist. You can explore the career advancement for a Contract specialist below and select your interested title to get hiring information.
If you are interested in becoming a Contract Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Contract Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Contract Specialist job description and responsibilities
A contract specialist performs various administrative duties that are essential to the successful management and execution of contracts on behalf of organizations.
12/17/2021: Moline, IL
They evaluates, negotiates, and prepares contracts for projects, services, or goods.
02/11/2022: Fort Lauderdale, FL
Contract specialist reviews the terms and conditions for a contract and ensures that all parties comply with the guidelines and legal regulations.
02/16/2022: Alamogordo, NM
They negotiate terms, evaluate bids, and prepare contracts.
03/12/2022: San Jose, CA
Evaluate or monitors contract performance to define necessity for amendments or extensions of contracts, and compliance to contractual obligations.
03/13/2022: Galveston, TX
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Contract Specialist jobs
The most successful contract specialists have a strong knowledge of business financial best practices, an understanding of contract law, and possess a strong attention to detail.
01/22/2022: Champaign, IL
Excellent analytical skills are crucial to the effectiveness of contract specialists.
01/18/2022: Kansas City, KS
Be familiar with contract review, drafting and negotiation skills.
12/23/2021: Cincinnati, OH
Develop communications that can break through.
12/30/2021: Elkhart, IN
Negotiate with suppliers to draw up procurement contracts.
02/28/2022: Jamestown, NY
Step 3: View the best colleges and universities for Contract Specialist.