Managed Care Contract Coordinator

Job Summary:

The 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 Functions:

• Ensure contracts are accurate and compliant with regulatory guidelines, by reviewing all contact details, ensure approvals are received for non-standard agreements
• Create basic contract documents for new providers, obtain any missing documentation to complete a provider packet
• Coordinate efforts with internal departments and providers offices to complete and obtain missing documentation
• Perform auditing of the contract, attachments and other provider documents for accuracy and completeness
• Promptly and accurately notate internal systems of all data maintenance requests
• Prepare documentation when applicable to facilitate data maintenance updates, ensuring all documentation is compliant with state, federal and all applicable governing entities
• Proficient in all systems needed to create, research and process maintenance
• Assure 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 status
• Assist 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 expectations
• Meet departmental productivity and quality standards
• Perform any other job duties as requested

Education and Experience:

• High School Diploma or General Equivalency Diploma (GED) is required
• Associate of business administration degree or related field is preferred
• Minimum of one (1) year of experience in a managed care or healthcare organization or contract development and review is required
• Prior experience with provider documents and provider data entry is highly preferred

Competencies, Knowledge and Skills:

• Intermediate computer skills including Microsoft Word, Excel and Outlook
• Communication skills
• Ability to work independently and within a team environment
• Attention to detail
• Familiarity of the healthcare field
• Knowledge of Medicaid
• Critical listening and thinking skills
• Technical writing skills
• Time management skills
• Customer service orientated
• Decision making/problem solving skills

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation 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 Type:
Hourly

Competencies:
- Create an Inclusive Environment
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business

This 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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