Contract Administrator (Full-time Remote, North Carolina Based)

The Contract Administrator manages all administrative and procedural components of provider contracts (Medicaid and Non-Medicaid) throughout the contract lifecycle, including but not limited to ensuring compliance with company contract templates, standards, and other key process controls. This includes implementation, completion and ongoing follow-up of various managed-care contracts, amendments, and other related document for entities within Alliance Health’s integrated delivery system, as well as assisting in development and maintaining effective relationships with payors and internal stakeholders.

This position is full-time remote. Selected candidate must reside in North Carolina. Occasional travel for onsite meetings may be required. 

Responsibilities & Duties

Contracts Management and Processing

• Communicate contract terms and/or facilitate follow up with General Counsel to providers and work with other internal departments to implement improvements in the contracting process


• Manage the full life cycle of provider contracts, including timely preparation of contract documents while giving special attention to language and accuracy, dissemination of contracts to providers within MCO-identified timeframes, follow-up of agreement status to ensure full execution, as well as accurate processing of executed contracts including completing all required organization forms, checklists, and data entry, reviewing any modifications, confirming executed contractual terms and conditions meet MCO requirements, and confirming all attachments are complete
  


• Ensure contracts elements are loaded correctly, timely and meet legal and business standards, interface with IT Department to ensure data integrity and accuracy of contract details and ensure all required data elements are entered into the Alliance Claims System, create the provider profile in accordance with all services the provider is contracted to provide, and ensure all appropriate rates are included, data must be accurate and timely to support claims processing
  


• Provide guidance and technical assistance to Alliance providers regarding the processing of contracts as well as ongoing resolution of any contract-related issues
  


• Help to address provider questions and complaints related to contracting issues and engage Provider Network Relations Staff as needed.  Investigate consumer/provider service discrepancies in contract details as requested and report findings

Administrative Functions

• Organize, maintain and electronically track all contract and related documents. Ensure the contract database system functions properly to serve Alliance needs and prepare and distribute reports to facilitate planning and maintenance of accurate contract records and files
  


• Manage contract files per department procedures and participate in development of time-phased plans for renewal of contracts to support anticipated requirements

Internal and External Stakeholder Management

• Work collaboratively with cross-departmental staff members to ensure contract deadlines are met and resolve contract-related issues
  


• Establish and maintain strong business relationships with Hospitals, Physician Groups, LIPs and Ancillary providers

Minimum Requirements

Education & Experience

:  

Graduation from a four-year college or university and three years’ experience in contracts administration, or administrative management, preferably involving participation in the planning and management in a behavioral healthcare agency, activity or specialized program; OR A Master's Degree in a relevant program area may be substituted for two years of the required experience.

Preferred:  

At least two years of experience working in a Health Care, Managed Care, LME/MCO or Business setting that requires administrative, project oversight or leadership responsibility.

Knowledge, Skills, & Abilities

• Thorough knowledge of contracting procedures


• Understanding of federal and state law, rules, regulations, guidelines, policies, and procedures applicable to LME-MCO contracting


• Knowledge of planning and scheduling techniques


• Working knowledge and understanding of computer-based contract maintenance programs; skill in organizing resources and establishing priorities


• Ability to work effectively with a wide range of individuals and groups in a diverse community


• Skill in computer use and database management


• Ability to organize and coordinate programmatic contract implementation


• Ability to gather and analyze statistical and financial data and generate clear and comprehensive reports


• Ability to make sound judgments and decisions on sensitive


• Ability to build consensus, develop collaborative work plans and implement planned activities


• Ability to understand LME-MCO requirements, goals, targets and outcomes


• Ability to interpret administrative direction, communicate effectively to a diverse audience, manage diverse tasks simultaneously, and exercise discretion with confidential information


• Excellent written and verbal communication; ability to communicate effectively with a variety of groups and individuals


• Ability to establish and maintain effective working relationships with senior staff, LME-MCO staff, providers, community groups, and local and state agencies

Salary Range

$60,234 - $76,799/Annually

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, which includes:

• Medical, Dental, Vision, Life, Short and Long- and Short-Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility