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Partnership HealthPlan of California: Contracts Coordinator Ii

Partnership HealthPlan of California

This is a Full-time position in Fairfield, CA posted August 14, 2021.

Overview:To assist and support the Director with development, implementation, and maintenance ofprofessional, facility, and ancillary contracts for the PHC provider network.

The ContractsCoordinator II is responsible for, Contracting Department tracking, and reporting provider networkactivities, including of scanning contract documents, mailing or emailing network notices relatedto contracting, initiating contracts and supporting daily contracting activities as assigned byDirector.

Provide administrative support to Director as needed.Responsibilities:As assigned by the Director, support daily management of provider contracting activitiesfor clinics, safety net providers, physicians, physician groups, hospitals, free-standingfacilities, 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 networkdrives.Distribute amendments or new agreements to key departments and staff within PHC perPartnership procedures and protocols.Process and respond to requests from external potential providers via phone or writtencorrespondence.Monitor the contracts dept.

email in-box and facilitate replies to inquiries.

Respond togeneral questions regarding the status of contract processing.Fulfill requests for contract copies from internal and external customers as approved byDirector.Support Director with contract projects and coordinate contracting activities as it relates toPlan initiatives, DHCS requirements, other Regulatory mandates, and Credentialingactivities.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) whenrequested.Ensure all contracts, amendments, documents are properly routed using the PR departmentworkflow procedures or as assigned by Director.Use PHC WorkFront, CONTRAXX® or other designated software for distribution ofagreements, LOAs, other contracting documents.

May act as a point of contact forContracting reports of contracting activities per PR dept.

requirements for, Director, SeniorDirector and COO.Work closely with PR Systems, Data and Audit staff to ensure accuracy of contractualsetups in PHC systems.Monitor and track assigned contracting activities according to PR department establishedtimelines and workflow processes.Support the ongoing maintenance of provider template contracts, in collaboration withContract 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 RESPONSIBILITIESBack up to PR Contracting colleagues when neededParticipate in special projects as assigned.Qualifications:Education and ExperienceH.S.

Diploma or equivalent; three (3) years of customer serviceexperience or any combination of education and experience whichwould provide an equivalent background required.

Bachelor’s degreepreferred.

Prefer three (3) years’ experience in a business segmentservicing providers with exposure to network management or networkdevelopment and managing of healthplan or payor provideragreements.

Prefer experience with medical provider contracting usingvarious reimbursement models including capitation, fee-for-service,per diem, DRG, pay for performance.Special Skills, Licenses and CertificationsRequires 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 andaccuracy.

Valid California driver’s license and proof of currentautomobile insurance compliant with PHC policy are required to operatea vehicle and travel for company business.Performance Based CompetenciesExcellent organization skills with ability to prioritize assignments,maintain effective filing systems, and meet deadlines.

Ability to usegood judgment and handle sensitive issues with tact and diplomacy.Work Environment And Physical DemandsAbility to use a computer keyboard and 10-key calculator.

More than80% 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; andAbide by the HealthPlan’s policies and procedures, as they may from time to time be updated.IMPORTANT DISCLAIMER NOTICEThe 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.