The Contract Coordinator will support and coordinate all aspects of contract development, execution, and tracking including drafting contracts, as necessary. Work with Utilization Management in preparing and negotiating Letter of Agreements within cost targets. Work with Network Development Specialists in tracking and prioritizing contracts. Interface with physicians, physician offices, and internal departments to ensure timely execution of contracts and notification to internal departments of reimbursement terms.
Essential Functions and Responsibilities of the Job
Assist Contracting Manager and Director in preparing contract documents.
Run reports and analysis.
Secure signature from all parties including Provider, Director and Senior Management.
Send executed agreements to Provider.
Provide contract detail information (i.e., reimbursement page) to appropriate departments, including Directory Support and Provider Portal Analyst.
Set up and manage tracking of contracts through each stage of the contract process.
Management of all contract elements and files.
Negotiate, within cost targets, and track Letter of Agreements
Ensure provider contract files are complete and current.
Support credentialing process as needed.
Inform key internal departments of new contract terms i.e. CAP and FFS rates.
Essential Job Outcomes
Researches, drafts and prepares prospective, concurrent and retrospective member specific Letter of Agreements (LOA).
Researches, drafts and prepares prospective, concurrent and retrospective contractual amendments and agreements as required.
Open and organize all incoming and outgoing correspondence. Author, design and distribute correspondences, memos, reports, etc.
Document and database management, including establishing, developing, maintaining and updating various filing systems and databases. Perform data entry, scan documents, and prepare summary documents.
Maintain confidential and proprietary sensitive information and files.
Use pertinent data and facts to identify and solve a wide range of problems and issues within network.
Meeting management including coordinating, scheduling and preparing for monthly meeting with Medical Directors to evaluate providers interested in joining respective HMO networks.
“Other duties as assigned”
Minimum of two (2) years experience at IPA, health plan or related environment.
Strong communication skills, both written and verbal.
Experience working with providers, health plans, members and vendors.
Must be able to demonstrate the ability to work independently with minimal supervision.
Must be able to handle high volume work load and effectively prioritize work to meet changing deadlines.
Must have strong interpersonal communication skills and the ability to interact effectively at all levels within the organization.
Must be proficient in Microsoft Office applications including Word including complex mail merges, Power Point, Excel and Outlook. Experience with Access a plus.
Experience with Epic CRM preferred or other CRM experience will be considered.
High school diploma or equivalent is required; Bachelor’s degree preferred.
Internal Number: MEM003568
About MemorialCare Medical Foundation
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.