Organization: Partnership HealthPlan of California
Location: Fairfield, CA
Date Job Posted: December 1, 2021
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Contracts Coordinator II
Job Locations US-CA-Fairfield
Job ID 2020-1852
FLSA Status Non-Exempt
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.
SECONDARY DUTIES AND RESPONSIBILITIES
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:
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.