Healthcare Plans Contract Specialist (Hybrid Position)

Overview

Healthcare Plans Contract Specialist (Hybrid Position) — Provide administrative support throughout the contracting process. Ensure and maintain the integrity of BMR Partners and contract templates and the contract files. Develop and maintain strong internal and external relationships to support the contracting process. This hybrid role requires a minimum of three in-office days per week.

Essential Duties & Responsibilities

• Maintain the integrity of contract templates, contract files, and correspondence templates.
• Prepare and execute contract documents, i.e., initial application, credentialling application, renegotiations.
• Monitor and track progress of all contract negotiations.
• Responsible for quality control process of new and revised documents.
• Create and maintain payor contract renewal calendar to insure timely renegotiations.
• Conduct research to assist contracting process.
• Assist in scheduling and maintaining the annual and ad-hoc health plan meeting calendars, preparing meeting agendas, materials and follow-up items.
• Serve as a communication link between payors and the Company.
• Develop, maintain and distribute custom contract matrices.
• Investigate and problem-solve concerns relating to contracts.
• Other duties as assigned.

Qualifications

The individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Seniority level

Employment type

Job function

Industries

J-18808-Ljbffr