Contracting Specialist

Job Description

We are looking for Contracting Specialist in Staten Island, NY for Fulltime position. 

Please refer someone else if you are not available at this time or you are not right match for this job opportunity. We have great Referral Bonus up to $2500!!! Please don't miss to refer someone who are looking for projects.

Job details mentioned bellows:

Job Title: Contracting Specialist

Location: Staten Island, NY

Duration: Fulltime

Client: Direct Client

Responsibilities Include (but are not limited to):

• Administers the implementation and maintenance of provider contracts, including alternative payment models and fee for service agreements.

• Facilitates contracting activities with Managed Care Finance, Legal, Medical Management, Data and Analytics, and Payer Operations departments, and with other parties as appropriate.

• Oversees the master contract database, in accordance with organizational policies and procedures, in both electronic and paper formats.

• Oversees coordination of contract execution and filing, and tracking of notice, termination and contract deliverable dates.

• Gathers, researches, and distributes contract-related information for compilation and communication; prepares communications, summary sheets, quick reference guides, and implementation checklists for payer contracts.

• Maintains in-depth knowledge and expertise of managed care and related contracts.

• Serves as the primary point of contact for all outside vendor groups.

• Processing and tracking enrollment of affiliated community health center providers in commercial risk contracts and follow up as needed.

• Performs administrative tasks related to contracting, including credentialing and re-credentialing applications, scheduling meetings, and responding to government requests.

• Adheres to Compliance policies

• Other duties as assigned.

Education & Experience:

• Bachelor's degree is required. Preferred/Desirable: Bachelor’s degree in healthcare administration, finance, business or related field preferred.

• 2-4 years’ experience in healthcare, managed care, or finance required.

• Effective communication skills (verbal and written)

• Demonstrates the ability to work independently with minimal supervision, and as part of a team

• Must possess above-average organizational skills and be detail-oriented

• Ability to relate effectively to physicians and hospital administration and to handle service issues and complaints in a professional and diplomatic manner

• Demonstrates knowledge in understanding of healthcare contracting, managed care, and finance

• Competence using Microsoft Office products, primarily Word and Excel

Qualifications

Additional Information

All your information will be kept confidential according to EEO guidelines.