Healthcare Plans Contract Specialist

Description

Position Summary:

Provide administrative support throughout the contracting process. Perform duties to ensure and maintain the integrity of BMR Partners and contract templates and the integrity of the contract files. Develop and maintain strong relations internally and externally to support the contracting process.

This is a hybrid position requiring a minimum of three in-office days a week. 

Essential Duties & Responsibilities:

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

Requirements

Education and Experience:
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.

1. Minimum 3 years' experience in healthcare such as medical claims, medical front/back office, contracting or Provider Relations preferred.
2. Enjoys working in both individual and team settings.
3. Must be able to work independently, providing management with status updates.
4. Ability to effectively communicate in English, both verbally and in writing.
5. Proficient in Microsoft Office skills (Excel, Word, Access, etc.)
6. Multi-task; establish priorities.
7. Self-starter, resourceful and able to execute projects in a fluid and fast-paced environment.
8. Good communication skills
9. Strong analytical skills
10. Attention to detail.