We are searching for a Contracts Administrator someone who works well in a fast-paced managed care setting. In this position, you'll be responsible for the analysis, implementation, completion and ongoing follow-up of various managed-care contracts for entities in our integrated delivery system. You will assist in developing and maintaining effective relationships with payors and internal customers. You may interact with attorneys, executive staff, directors, managers, and peers daily. You will be accountable for managing and completing major departmental projects including recommending project plans.
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Job Duties & Responsibilities
Reviews managed-care contracts for language and rate appropriateness using the Network Development established parameters and guidelines
Ensures managed-care agreements are signed by both payor and hospital representative and that any newly-executed contracts are sent to Administrative Assistant for filing
Assists payors in resolving managed-care issues related to various entities of the integrated delivery system
Responds to internal staff requests regarding contract interpretation within 24 hours
Develops and maintains tools to assist various entities of the integrated delivery system in review and monitoring of managed-care contract performance and marketing of services
Attends meetings with other internal entities and departments, as needed, to discuss issues related to managed care
Acts as in-house contracting representative responding to payor and internal requests
Skills & Requirements