Job Description

Essential Functions and Responsibilities + Assist the Contracting Manager and Director in the preparation of contract documents. + Conduct reports and analyses. + Secure signatures from all relevant parties, including the Provider, Director, and Management. + Dispatch executed agreements to the Provider. + Provide detailed contract information (e.g., reimbursement page) to appropriate departments, including Directory Support and Provider Portal Analyst. + Establish and manage the tracking of contracts through each stage of the contract process. + Oversee all elements and files related to contracts. + Negotiate and track Letters of Agreement within cost targets. + Ensure provider contract files are complete and up-to-date. + Support the credentialing process as needed. + Inform key internal departments of new contract terms, such as CAP and FFS rates. + Research, draft, and prepare prospective, concurrent, and retrospective member-specific Letters of Agreement (LOA). + Research, draft, and prepare prospective, concurrent, and retrospective contractual amendments and agreements as required. + Open and organize all incoming and outgoing correspondence. Author, design, and distribute correspondences, memos, reports, etc. + Manage documents and databases, including establishing, developing, maintaining, and updating various filing systems and databases. Perform data entry, scan documents, and prepare summary documents. + Maintain confidential and proprietary sensitive information and files. + Utilize pertinent data and facts to identify and solve a wide range of problems and issues within the network. + Coordinate, schedule, and prepare for monthly meetings with Medical Directors to evaluate providers interested in joining respective HMO networks. + Perform other duties as assigned. Skills + Contract administration + Contract support + Contract coordination + IPA + Health plan + Health care + Epic systems + Microsoft Office Top Skills Details + Contract administration + Contract support + Contract coordination + IPA + Health plan + Health care Additional Skills & Qualifications + Work Locations: MMF-Medical Foundation, 17360 Brookhurst Street, Fountain Valley, Fountain Valley 92708 + Job: Administrative, Clerical + Organization: MemorialCare Medical Foundation + Experience Level: Intermediate Level Pay and Benefits The pay range for this position is $25.00 - $31.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision- Critical Illness, Accident, and Hospital- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available- Life Insurance (Voluntary Life & AD&D for the employee and dependents)- Short and long-term disability- Health Spending Account (HSA)- Transportation benefits- Employee Assistance Program- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Fountain Valley,CA. Application Deadline This position is anticipated to close on Apr 29, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job Tags

Contract work, Temporary work, Work at office,

Similar Jobs