Contracts Coordinator

Location: Harrisburg, PA
Date Posted: 12-31-2018
CareNational
Contracts Coordinator​  Health Plan
Harrisburg, PA
 
** This is a Full Time, Benefits Available, CONTRACT opportunity, expected to last 3-4 months or more! **

Contracts Coordinator​ Job Summary:
  • Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for daily and monthly reports.
  • Maintain and report on the Health Plan(s) compliance with contract submission rules and exception requests and communicate to Manager on a monthly basis.
  • Support the contract submission process to ensure confirmation with Corporate standards by the Health Plan(s), provide support to the Contract Case Conferences and ensure that appropriate internal controls are established to account for and secure hard copy or scanned images of contracts.
  • Maintain and update on a routine basis the contract organization’s databases.
  • Produce reports, as requested.
  • Coordinate the Corporate-wide data verification process for contracted providers. Update contract organization’s databases, as necessary.
  • Interface with the credentialing staff to ensure all Health Plan data systems are congruent

Contracts Coordinator​ Background:  
 
  • Requires an education level of at least a high school diploma or GED; Associate’s degree is a plus.
  • Strong data entry skills required. Auditing experience preferred.
  • At least 2+ years of experience managing large databases and provider information systems.
  • Strongly prefer 1 or more years at a Managed Care Organization (Health Plan, IPA/Medical Group, HMO, TPA/MSO, etc).
  • Basic knowledge of health care delivery systems, Managed Care Organizations as well as Medicaid/Medicare and related state programs is needed.
  • Previous experience with database management, data reporting, and data transfer preferred.
  • Must have a minimum of 30-40 wpm typing with a high level of accuracy.

 
#ADMIN
AMANDA SOWARDS
SEARCH CONSULTANT
CareNational 
amanda@carenational.com
443.552.7423 (CALL – TEXT – FAX)
Schedule a time to talk by clicking HERE




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