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Contracts Coordinator II, Fairfield, CA


Organization: Partnership HealthPlan of California
Category: Professional
Location: Fairfield, CA
Date Job Posted: June 30, 2021
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Contracts Coordinator II

Job ID 2020-1852 FLSA Status Non-Exempt

Overview

To assist and support the Director with development, implementation, and maintenance of professional, facility, and ancillary contracts for the PHC provider network. The Contracts Coordinator II is responsible for, Contracting Department tracking, and reporting provider network activities, including of scanning contract documents, mailing or emailing network notices related to contracting, initiating contracts and supporting daily contracting activities as assigned by Director. Provide administrative support to Director as needed.

Responsibilities

  • As assigned by the Director, support daily management of provider contracting activities for clinics, safety net providers, physicians, physician groups, hospitals, free-standing facilities, ancillary, and other provider types for all PHC programs.
  • Assist with obtaining contract signatures, contract renewals, and amendments from CEO, COO, CFO or designee.
  • Ensure all contracts are scanned and stored to CONTRAXX® and/or internal PHC network drives.
  • Distribute amendments or new agreements to key departments and staff within PHC per Partnership procedures and protocols.
  • Process and respond to requests from external potential providers via phone or written correspondence.
  • Monitor the contracts dept. email in-box and facilitate replies to inquiries. Respond to general questions regarding the status of contract processing.
  • Fulfill requests for contract copies from internal and external customers as approved by Director.
  • Support Director with contract projects and coordinate contracting activities as it relates to Plan initiatives, DHCS requirements, other Regulatory mandates, and Credentialing activities.
  • Actively participate in workflow and process improvement activities.
  • Assist with collating information for all regulatory projects and internal/external audits.
  • Under direction from the Director, initiate unique Letters of Agreements (LOA) when requested.
  • Ensure all contracts, amendments, documents are properly routed using the PR department workflow procedures or as assigned by Director.
  • Use PHC WorkFront, CONTRAXX® or other designated software for distribution of agreements, LOAs, other contracting documents. May act as a point of contact for Contracting reports of contracting activities per PR dept. requirements for, Director, Senior Director and COO.
  • Work closely with PR Systems, Data and Audit staff to ensure accuracy of contractual setups in PHC systems.
  • Monitor and track assigned contracting activities according to PR department established timelines and workflow processes.
  • Support the ongoing maintenance of provider template contracts, in collaboration with Contract Manager and under the guidance of Director to ensure contract compliance.
  • Follow up on outstanding contracting activities via phone or written correspondence.
  • Attend internal network planning meetings as assigned by Director.
  • Other duties as may be assigned.

SECONDARY DUTIES AND RESPONSIBILITIES

  • Back up to PR Contracting colleagues when needed
  • Participate in special projects as assigned.

Qualifications

Education and Experience

H.S. Diploma or equivalent; three (3) years of customer service experience or any combination of education and experience which would provide an equivalent background required. Bachelor’s degree preferred. Prefer three (3) years’ experience in a business segment servicing providers with exposure to network management or network development and managing of healthplan or payor provider agreements. Prefer experience with medical provider contracting using various reimbursement models including capitation, fee-for-service, per diem, DRG, pay for performance.

Special Skills, Licenses and Certifications

Requires strong oral, written and interpersonal communication skills, problem-solving skills, and analytical and critical thinking skills. Knowledge of managed care, contracting, policies, and procedures. Requires intermediate to advanced skills with MS Word, Excel, Powerpoint and Visio. 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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