Contracting Coordinator

Requisition# 20349

Employment Type

Full-time (Hybrid)

Experience

Associate degree with two (2) years related experience, or equivalent combination of education and experience.

Location

445 Grant Avenue, San Francisco, CA 94108

Region
Bay Area San Francisco
Application Email
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Position Summary:

The Contracting Department helps manage health plan provider and administrative contracts for both CCHP and its parent organization, Chinese Hospital Association. The Contracting Coordinator is responsible for performing numerous administrative and coordination functions within the Contract Department in support of daily operational activities, assigned projects and other duties deemed necessary for the department to complete assignments, meet deadlines and overall department success. A strong focus will be on maintaining electronic contract files, including tracking of contracts in negotiations, completing contract cover sheets, and ensuring all supporting documents are complete and accurate to include regular auditing of information maintained in multiple systems. Will assist in general outreach calls to providers, suppliers and payers to respond to general department inquiries via telephone and email, and serve as the point of contact for assigned projects.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Completes provider contract updates, to include demographic and contract changes, for distribution to the Provider Network Management, Utilization Management, IT, and Finance.
  • Completes Contract Routing Forms ensuring all data inputted is complete, timely and accurate to include any required supporting documents as well as obtaining various department approvals.
  • Assist in researching, in collaboration with the Director of Contracting, issues regarding provider data, fee schedules, configuration, originating from various departments as assigned.
  • Provides on-going auditing of the contract database through various reports, research and outreach via email and phone calls.
  • Accesses external data sources to perform routine validation of contractors’ ongoing compliance.
  • Maintains organization of files on departmental shared drives, assigned systems and databases to ensure such information is up-to-date and easily accessible.
  • Recommends process, practice and procedural changes and improvement to streamline, simplify and strengthen department efficiencies in assigned areas.
  • Assists in the gathering, coordinating, and reporting of various contract department data grids for use by other departments as required.
  • Handles all aspects of department mailings, including securing needed supplies, organizes, compiles, and prepares materials for mailings.
  • If non-electronic outgoing mail is needed, will operate equipment used to stuff, fold, and seal envelops before running envelops through the postage machine.
  • Accountable for work performed, works to develop, and maintain trusting working relationships with staff, co-workers, leadership, and external business partners, e.g. Health Plan and provider representatives.
  • Provides excellent internal/external customer service, maintains a professional work attitude and approach, works well and in a positive manner with all other Meritage staff, and maintains strict confidentiality.
  • Performs related work as required, special projects and other duties as assigned, within or outside of the Contracting department.
  • Continuously endeavors to raise the bar of department performance through a focus on Quality, Customer Experience, Financial Soundness, Process Improvement and Growth.
  • Accepts and performs other duties as assigned.

QUALIFICATIONS

  • Associate degree with two (2) years related experience, or equivalent combination of education and experience.
  • Managed Care experience preferred.
  • Strong attention to detail and organizational skills a must.
  • Effective written, verbal and listening communication skills.
  • Experienced and knowledge of Contract Guardian is a plus.
  • Proficient with MS Office (Word, Excel and Access), Outlook and Internet.
  • Demonstrates a strong customer service orientation, including a professional and respectful demeanor with customers, co-workers, and other business partners.
  • Strong sense of accountability for work conducted and expected deliverables.
  • Processes contract related forms efficiently and accurately.
  • Knowledge of provider data elements, provider contracts, claims is a plus.

    PHYSICAL REQUIREMENTS
  • Able to lift up to 30 pounds
  • Use proper body mechanics when handling equipment
  • Standing, walking and moving 50% of the
  • Occasional local and non-local travel to company and customer


COMPLIANCE REQUIREMENTS

Complies with CCHP and Chinese Hospital’s Compliance Program including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs.