Description

The Provider Contracting Coordinator 3 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Coordinator 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

Responsibilities

The Provider Contracting Coordinator 3 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes the financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically focused on methods, tactics, and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes, techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

Required Qualifications

• 1 to 3 years of provider relations, provider contracting, or account management experience

• Proficient in the use of Excel

• Excellent written and oral communication skills

• Ability to manage multiple priorities in a fast-paced environment

• Knowledge of Microsoft Office applications

• This position is remote, but candidates must reside in the state of Ohio

Preferred Qualifications

• Bachelor's Degree

• Experience with ACO/Risk Contracting

• Value-based contracting experience

Work-At-Home Requirements

• Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

• Satellite and Wireless Internet service is NOT allowed for this role.

• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

40