Contract Coordinator

Where

Albuquerque, NM

What you'll be doing

Establishes overall direction, plan, policy and procedural documentation for department to ensure compliance with corporate policies, customer requirements, reporting requirements, best practices and process efficiencies, related to requests for seeking, qualifying, documenting and contracting out-of-network providers. Ensures timely and appropriate response to all ad hoc requests. Responsible for development, modification, maintenance and review of ad hoc contracts, agreements and addenda, in conjunction with corporate legal counsel, in addition to ad hoc provider authorization and referral policy. Member of project team in planning and development for ad hoc processes and ACES system enhancements, and engages relevant leadership from other departments, including development and delivery of training, as necessary, (i.e. network field, network services, account management, IT, and care management centers). Meet financial goals (e.g., control care cost trends, profitability) as defined by the business operations and CMC senior management team, including assuring that the out-of-network provider ad hoc rates are contracted within ad hoc standards. Supports the development and mentoring of ad hoc department staff in meeting objectives and functional obligations, as well as establishing plan for cross departmental job shadowing, and knowledge sharing. Reviews ad hoc report data and facilitates review with field management and CMC leadership to identify trends and risks with plan for correction or redirection.

What your background should be

At least 3-5 years of progressively more responsible health care administration experience (finance/contract administration, physician/provider relations, technical writing for policy & procedural) with strong preference for managed care experience. Excellent organizational skills required. The ability to handle multiple tasks at one time. Must have effective problem solving skills. Must have excellent writing skills. Must have the ability to be and work as a team member. Works in a team environment, providing support to team members as assigned. Satisfactorily completes all required trainings within specified time frames. Provides suggestions for improvement and alerts management to barriers to successful performance.

Required Schooling / Training

HS/GED required. Bachelor degree is preferred.

Who is the client company

Concern about hospital & healthcare services.

If you are interested in this position, send your resume to apply@kochdavis.com