Contracting Specialist
Infojini- Location
- New York, NY, United States
- Workplace
- —
- Employment
- Full Time
- Salary
- —
Posted 9y ago
We are looking for Contracting Specialist in Staten Island, NY for Fulltime position.
Please refer someone else if you are not available at this time or you are not right match for this job opportunity. We have great Referral Bonus up to $2500!!! Please don't miss to refer someone who are looking for projects.
Job details mentioned below-
Title: Contracting Specialist
Location: Staten Island, NY
Duration: Fulltime
Client: Direct Client
Job Summary
Responsibilities Include (but are not limited to)
- Administers the implementation and maintenance of provider contracts, including alternative payment models and fee for service agreements.
- Facilitates contracting activities with Managed Care Finance, Legal, Medical Management, Data and Analytics, and Payer Operations departments, and with other parties as appropriate.
- Oversees the master contract database, in accordance with organizational policies and procedures, in both electronic and paper formats.
- Oversees coordination of contract execution and filing, and tracking of notice, termination and contract deliverable dates.
- Gathers, researches, and distributes contract-related information for compilation and communication; prepares communications, summary sheets, quick reference guides, and implementation checklists for payer contracts.
- Maintains in-depth knowledge and expertise of managed care and related contracts.
- Serves as the primary point of contact for all outside vendor groups.
- Processing and tracking enrollment of affiliated community health center providers in commercial risk contracts and follow up as needed.
- Performs administrative tasks related to contracting, including credentialing and re-credentialing applications, scheduling meetings, and responding to government requests.
- Adheres to Compliance policies
- Other duties as assigned.
Physical Requirements/ Working Conditions
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is occasionally required to stand; sit; walk; use hands to finger, handle, or feel objects, tools, or control; reach with hands and arms; and stoop, bend, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision.
- Incumbent will be scheduled based on operational need.
- Standard use of office equipment including computers, fax machines, copiers, printers, telephones, etc.
- Position is in a well-lighted office environment.
- Involves sitting approximately 95 percent of the day, walking or standing the remainder.
Education & Experience
- Bachelor's degree is required.
Preferred/Desirable
Bachelor’s degree in business, finance, healthcare management, or related field preferred.
- 2-4 years’ experience in healthcare, managed care, or insurance required.
- Effective communication skills (verbal and written)
- Demonstrates the ability to work independently with minimal supervision, and as part of a team
- Must possess above-average organizational skills and be detail-oriented
- Ability to relate effectively to physicians and hospital administration and to handle service issues and complaints in a professional and diplomatic manner
- Demonstrates knowledge in understanding of healthcare contracting, managed care, and finance
- Competence using Microsoft Office products, primarily Word and Excel
All your information will be kept confidential according to EEO guidelines.
Skills
- Microsoft Office
- Excel
More jobs at Infojini
All 592UX Designer
Infojini · Secaucus, NJ, United States · 9y ago
Desktop Support (Locals Only)
Infojini · Aberdeen, NC, United States · 9y ago
End User/Desktop Support Specialist
Infojini · Ashland, VA, United States · 9y ago
Quality Assurance
Infojini · Saint Paul, MN, United States · 9y ago
Cloud Architect
Infojini · Raleigh, NC, United States · 9y ago
Similar roles
IT Support Specialist-III
Amperesand · Reno, Nevada, United States · today
Staff AI Engineering - Enterprise Architecture
American Express · Phoenix, AZ, United States · USD 144,250–256,250/yr · today
Senior Systems Engineer (Cloud Engineer)
UFCU Main · Austin, TX, United States · today
Field Service Technician II
Toshiba America Business Solutions · East Syracuse, NY, United States · today
Field Service Technician I
Toshiba America Business Solutions · Rochester, NY, United States · today
Field Service Technician II
Toshiba America Business Solutions · Buffalo, NY, United States · today