Contract Specialist

Job ID
2020-117944
Employment Type
Full Time
Department
Managed Care Contracting
Hours / Pay Period
80
Facility
Dignity Health Management Services Organization
Shift
Day
Standard Hours
Monday - Friday (8:00 AM - 5:00 PM)
Work Schedule
8 Hour
Location
CA-Bakersfield

Overview

 

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

 

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

 

Responsibilities

  • Responsible for meeting all of the DHMSO Job Standards described below.
  • Prepares, enters and maintains provider contract information in all appropriate information systems and hardcopy files, insuring that information is readily available for reference by DHMSO staff by all appropriate means, including hardcopy and electronic.
  • Negotiates provider contract language and contract rates.
  • Acts as a resource for internal departments as well as external organizations and customers on contract interpretation and contract modification.
  • Organizes and attends meetings as necessary, including responsibility for agenda, minutes and handouts.
  • Performs and completes general office work, including clerical tasks such as filing, composing correspondence, contracts, and other related documents.
  • Secures one case agreement with non-contracted providers as requested.
  • Insures that supplies and equipment necessary to complete work assignments are available for continuity of workflow and cost effectiveness.
  • Provides support to designated management staff as assigned.
  • Assists with special projects as assigned.

 

#MISSIONCRITICAL

Qualifications

 

Required

  • Five or more years experience working in a high level administrative support position.

 

Preferred

  • One or more years working in a medical group, health plan, hospital or other related healthcare organization. Experience in contracting, provider relations, and claims processing.
  • Degree in healthcare administration.
  • Combination of education and work experience may be considered.
  • Knowledge of managed care practices and procedures, specifically in contracting language and negotiations.

 

Additional Qualifications

  • Ability to effectively interpret and communicate complex contracting language and rates.
  • Ability to successfully negotiate provider contracts and single case agreements: negotiations to include contact language and rates.
  • Must be attentive to detail, accurate, thorough, and persistent in following through to completion of all activities, demonstrating initiative for completing work assignments.
  • Excellent communication skills; able to read, write, and speak articulately, using established channels of communication and reporting relationships within the organization. Ability to communicate effectively with all levels of internal/external staff, management, members, physicians/physician office staff, etc.
  • Strong problem-solving abilities. Ability to identify issues and problems within administrative processes and other relevant areas.
  • Must be able to work collaboratively with multiple internal departments as well as external organizations.
  • Proficient in the use of Microsoft Office applications; Excel, Word, Outlook, and PowerPoint.
  • Ability to create professional documents using proper grammar, punctuation and appropriate reading level.

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