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Form of workRequisition #:
27422
Specialist, Provider Contracting Operations - Temporary Part Time, Days (Remote)
We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.
The Provider Contracting Operations Specialist will assist with maintaining all contract templates, policies and procedures, and coordinate the delivery of documentation with other business units to ensure cohesion. Assist with reviewing and delivering onboarding provider data. Work closely with the Provider Contracting department to assist with various tasks to ensure consistency is taking place across the department deliverable.
Job Responsibilities/Duties
- Support with revisions of training materials for new and existing staff at all levels of the Provider Contracting team.
- Support QA audits on contracts, amendments, correspondences, and data loads in the contract management system.
- Support the creation and management of policies and procedures, job aids, and standard operating procedures while coordinating with other business units on regulatory dependencies.
- Support contracting data application upgrades, and auto loads in conjunction with IT support.
- Perform user acceptance testing.
- Manage contract templates and ensure regulatory compliance.
- Create and manage correspondence templates.
- Create and Manage reference library.
- Assist with other duties as assigned.
Qualifications
Minimum Education: Associates degree or five years of relevant experience required. Bachelor's degree in Business Administration or similar field of study preferred.
Minimum Experience: Contracting administration and negotiations in a managed care environment required. Excellent verbal and written communication skills. Detail oriented and analytical. Strong organizational skills. Ability to manage multi-level and complex organizational structures. Managed Care operations and regulatory requirements for all lines of business. FFS and Capitation contractual arrangements with Primary Care and Specialist providers.
Req. Certification/Licensure: None.
Employee Value Proposition
Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals, benefit eligible positions will receive:
- Company 401K
- Medical, dental, vision insurance
- Paid time-off
- Life insurance
How to Apply
To apply for this role, or search our other openings, please visit
We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.
EEOC is the Law:
Position Summary
Employment Status: Temporary Part-time
Shift: Days
Work Schedule: Monday - Friday
Address: California - Remote- , California
Reasonably expect to pay:
Min: $0 Max: $0
Union Pay Info:
27422
