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Contracts Coordinator II, Fairfield, CA


Organization: Partnership HealthPlan of California
Category: Professional
Location: Fairfield, CA
Date Job Posted: October 28, 2020
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Contracts Coordinator II

Job ID 2020-1852 FLSA Status Non-Exempt

Overview

To assist in the development, implementation, and maintenance of professional, facility, and ancillary contracts for the PHC provider network. The Contracts Coordinator II is responsible for initiating contracts and supporting daily contracting activities as directed by Manager.

Responsibilities

  • Support the ongoing management of provider contracts with clinics, safety net providers, physicians, physician groups, hospitals, free-standing facilities, ancillary, and other provider types for all PHC programs.
  • Assist with obtaining initial contract signatures, contract renewals, and amendments.
  • Ensure all contracts are scanned and stored to internal PHC network drives.
  • Distribute amendments or new agreements to key departments and staff within PHC.
  • Process and respond to requests from external potential providers via phone or written correspondence.
  • Respond to general questions regarding the status of contract processing.
  • Fulfill requests for contract copies from internal and external customers.
  • Support contract projects and coordinate contracting activities as it relates to Credentialing activities and deadlines.
  • Participate in workflow and process improvement activities.
  • Assist with collating information for all regulatory projects and internal/external audits.
  • Initiate unique Letters of Agreements (LOA) when requested.
  • Ensure all southern and northern region contracts, amendments, documents are properly routed using the PR department workflow process.
  • Use PHC routing system for distributing executed LOAs.
  • Manage and update daily contracting grids/spreadsheets used for tracking status of contracting activities.
  • Work closely with PR Audit staff to ensure accuracy of contractual setups in PHC systems.
  • Collaborate with Northern Region contracting staff to ensure all source documents are maintained in Fairfield office.
  • Maintain, monitor, update, and track contracts according to PR department established timelines and workflow processes.
  • Create and update weekly contract status reports to Manager/Director.
  • Update and maintain provider template contracts, working with PHC Regulatory Affairs department to ensure contract compliance.
  • Follow up on outstanding contracting activities via phone or written correspondence.
  • Assist with training and oversight of PR Systems staff to maintain GEO Access Provider database. Act as backup for ongoing GEO Access maintenance.
  • Attend internal network planning meetings as directed by Manager.
  • Keep Manager informed of issues related to contracting activities.
  • Answer basic contract questions and assist with provider education as directed.

SECONDARY DUTIES AND RESPONSIBILITIES

  • Back up to Manager when needed.
  • Participate in special projects as assigned.

Qualifications

Education and Experience

Bachelor’s degree in Healthcare or a related field; minimum three (3) years of healthcare experience in managed care environment preferred. Experience with medical provider contracting using various reimbursement models including capitation, fee-for-service, per diem, DRG, pay for performance; or equivalent combination of education and experience.

Special Skills, Licenses and Certifications

Excellent oral and written communication skills. Knowledge of managed care, contracting, policies, and procedures. Requires knowledge of business software applications, specifically MS Excel and Word. Must be computer proficient. Eye for detail and accuracy. Valid California driver’s license and proof of current automobile insurance compliant with PHC policy are required to operate a vehicle and travel for company business.

Performance Based Competencies

Excellent organization skills with ability to prioritize assignments, maintain effective filing systems, and meet deadlines. Ability to use good judgment and handle sensitive issues with tact and diplomacy.

Work Environment And Physical Demands

Ability to use a computer keyboard and 10-key calculator. More than 80% of work time is spent in front of a computer monitor. When required, ability to move, carry, or lift objects weighing up to 30 lbs.

All HealthPlan employees are expected to:

  • Provide the highest possible level of service to clients;
  • Promote teamwork and cooperative effort among employees;
  • Maintain safe practices; and
  • Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

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