Partnership HealthPlan of California

Temporary Contracts Coordinator

Job Locations US-CA-Fairfield
Job ID
2024-3252
FLSA Status
Non-Exempt
Hiring Range
$32/hour

Overview

To assist in the development, implementation, and maintenance of professional, facility, and
ancillary contracts for the PHC provider network. The Contract Coordinator will also be
responsible for supporting daily contracting activities as follows:

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 the 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.
  • Assist with collating information for all regulatory projects and internal/external audits.
  • Initiate unique Letters of Agreements (LOA) when requested.
  • Use PHC routing system for distributing executed LOAs.
  • Develop contracting spreadsheets used for tracking amendments and daily contracting
    activities.
  • Assists with maintaining, monitoring and updating new contracts notification grid and
    following up with internal departments to ensure systems are updated timely. Track and
    audit.
  • Report project and contract status to Manager/Director on a routine basis.
  • Work with PHC Regulatory Affairs department to ensure contract compliance.
  • Follow up on outstanding contracting activities via phone or written correspondence.
  • Attend internal network planning meetings as directed by Manager.
  • Answer basic contract questions and assist with provider education as directed.

    SECONDARY DUTIES AND RESPONSIBILITIES
  • Secondary Duties and responsibilities.
  • Back up to Manager when needed.
  • Participate in Special Projects as assigned.

Qualifications

Education and Experience

Experience with medical provider contracting using various
reimbursement models including capitation, fee-for-service, per diem, DRG, pay for performance. Bachelor’s degree in Healthcare or a related field, minimum 3 years healthcare experience in managed care environment preferred 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 EXCEL and WORD. Must be computer proficient. Eye for detail and accuracy.

 

 

 

Performance Based Competencies

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

 

 

 

Work Environment And Physical Demands

Ability to use microcomputer keyboard and 10-key calculator. More than 80% of work time is spent at a video display terminal. Ability to operate a vehicle used for company business. 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.

HIRING RANGE:

 

$32/hour

 

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 or definitive 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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