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Prime Healthcare

Acquires and reorganizes underperforming hospitals

Contracts Analyst

Contract ManagementConfirmed live in the last 24 hours
Full-timeOntario, CA, USA$24.77 - $28.25In-person

About the Job

Requirements

  • High school graduation or GED is required.
  • Working knowledge of the physician credentialing process and strong follow-up skills are required.
  • Knowledge of CPT and ICD-10 codes, Medicare guidelines, and managed care contracts is required.
  • Working knowledge of self-funded medical plans and/or managed care plans is required.
  • Computer literacy in Microsoft Office Windows is required.
  • Ability to interact professionally with physicians and vendors is required.

Responsibilities

  • Originate and maintain physician and provider contract packets and Letters of Agreement (LOAs).
  • Track the submission and approval process.
  • Maintain and update contact files and amend contracts as appropriate for the self-funded medical plan (EPO).
  • Apply department policies and procedures and handle confidential information with responsibility, confidentiality, judgment, and discretion.
  • Communicate effectively in writing, verbally, and via telephone.
  • Expand the provider network and make recommendations to management regarding providers lacking from or contracted within the Prime network.
  • Perform special projects as assigned by the Corporate Director of Employee Health (EPO).

Desired Qualifications

  • An associate's degree from an accredited institution is preferred.

About the Company

Prime Healthcare

Acquires and reorganizes underperforming hospitals

Prime Healthcare operates a network of hospitals and outpatient centers across the United States, concentrating on turning around financially struggling facilities. It invests in infrastructure and technology, restructures operations, and negotiates payer terms (including pursuing higher out-of-network reimbursements) to improve financial performance, and it manages both for-profit hospitals and not-for-profit facilities through the Prime Healthcare Foundation. The company aims to raise clinical quality and patient safety while expanding access in hundreds of communities, though it has faced legal and regulatory scrutiny over billing practices and service-line decisions. Its goal is to stabilize and improve the financial and clinical performance of underperforming hospitals so they can continue serving their communities.

Company size
5,001-10,000
Company stage
Debt Financing
Total funding
$2.2B
Headquarters
Ontario, CA
Founded
2001

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