Provider Contracts Administrator - Managed Care (Del Rio)

Kinetix HR in Del Rio, TX

  • Industry: Legal - Legal Secretary/Paralegal
  • Type: Full Time
  • $54,940.00 - 84,460.00
position filled

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.

Think youve got what it takes?

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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

  • High school diploma or GED required
  • 9 years of experience in managed-care
  • Experience in contracting or provider relations preferred
  • Bachelors degree preferred and may substitute for 4 years of experience


  • Associated topics: administrative, administrative assistant, administrative associate, clerk, deputy clerk, legal secretary, paralegal, paralegal corporate, receptionist, secretary

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