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Contracting Administration Manager in Orange at Prospect Medical Systems

Date Posted: 9/20/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    600 City Parkway West
    Orange
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    9/20/2018
  • Job ID:
    10027

Job Description

Contracting Administration Manager

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Contracting Manager is responsible for managing document control, redlines, reviews, inserting key terms and converting negotiation notes into document language.  In addition, supporting negotiations, distributing function specific contract language to SMEs for approval and routing final documents for signature.Develops tools (e.g., dashboards, grids, tables, summaries) as needed to provide organizational leadership key contract data.   Other duties as assigned.

Job Responsibilities/Duties

  • Revise and update contract templates and letters as needed for state/regulatory compliance and to implement industry standards and/or changes
  • Maintain and update scanned contracts and related documents on appropriate drive Answer and/or resolve urgently needed information sent to the HMO Contracting email box
  • Update HMO Contract renewal schedule as needed.
  • Upon execution of health plan contract provide information to Contract Administrator who will implement roll out meeting and include all impacted departments.
  • Upon execution of hospital agreement or amendment update information in current contract database and submit change form to appropriate personnel/departments.
  •  Convert negotiation notes to contract language
  •  Circulate draft contract terms/language to appropriate internal SMEs for review & approval
  • Identify material changes to contracts and work with legal department as needed on these issues.
  • Research claim or benefit inquiry as needed.
  •  Directly supervises all employees in Department. 
  •  Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. 
  •  Responsibilities include interviewing, hiring and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees of the department, addressing complaints and resolving issues.

Qualifications

Minimum Education:   Bachelor's degree required;or five years experience and/or training in contracting administration in a hospital or IPA setting; or equivalent combination of education and experience.

Minimum Experience:   Five (5) or more years’ experience in healthcare, preferably in an IPA operational setting. Must have strong working knowledge of MS Word, MS Excel,PowerPoint, Familiarity with payor & hospital contract language and reimbursement mechanisms and knowledge of state and other regulatory requirements for Medical Groups and RKK entities.  

Req. Certification/Licensure:   None

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:


•         Company 401K


•         Medical, dental, vision insurance


•         Paid time-off


•         Life insurance

How to Apply

To apply for this role, or search our other openings, please visit     http://pmh.com/careers/   and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.
 

EEO is the Law:     http://www1.eeoc. gov/employers/upload/eeoc_self_print_poster. pdf



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