Job SummaryThe Managed Care Contract Coordinator is responsible for ensuring contracts are accurate and compliant with regulatory guidelines, by reviewing all contact details, and ensuring approvals are received for non-standard agreements.
Essential FunctionsEnsure contracts are accurate and compliant with regulatory guidelines, by reviewing all contact details, ensure approvals are received for non-standard agreementsCreate basic contract documents for new providers, obtain any missing documentation to complete a provider packetCoordinate efforts with internal departments and providers offices to complete and obtain missing documentationPerform auditing of the contract, attachments and other provider documents for accuracy and completenessPromptly and accurately notate internal systems of all data maintenance requestsPrepare documentation when applicable to facilitate data maintenance updates, ensuring all documentation is compliant with state, federal and all applicable governing entitiesProficient in all systems needed to create, research and process maintenanceAssure compliance with corporate policies and procedures.
Assist with Recruitment efforts by placing outbound calls to leads and/or preparing/tracking and following up on mass mail projects. Field incoming calls from providers regarding contract or amendment statusAssist Contractors with preparing for Orientations by ordering packets, supplies and if necessary assisting on-site with sign-in etc. Assure the confidentiality of provider information and ensure all provider files are securely stored at close of business each day.
Knowledge of all regulatory requirements and internal processes to ensure that all maintenance and contractual documents are managed to expectationsMeet departmental productivity and quality standardsPerform any other job duties as requestedEducation And ExperienceHigh School Diploma or General Equivalency Diploma (GED) is requiredAssociate of business administration degree or related field is preferredMinimum of one (1) year of experience in a managed care or healthcare organization or contract development and review is requiredPrior experience with provider documents and provider data entry is highly preferredCompetencies, Knowledge And SkillsIntermediate computer skills including Microsoft Word, Excel and OutlookCommunication skillsAbility to work independently and within a team environmentAttention to detailFamiliarity of the healthcare fieldKnowledge of MedicaidCritical listening and thinking skillsTechnical writing skillsTime management skillsCustomer service orientatedDecision making/problem solving skillsWorking ConditionsGeneral office environment; may be required to sit or stand for extended periods of timeCompensation Range$35,200.
00 - $56,200. 00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation TypeHourlyCompetencies Create an Inclusive Environment - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the BusinessThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.
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