What are the responsibilities and job description for the Contract Specialist position at Charter Global?
Title: Provider Contracting Specialist
Location: Baltimore, MD (Remote)
Duration: 9 Months
Job Purpose:
This role is responsible for the building, management, oversight and negotiation of Institutional, Ancillary, Vendor, Dental and Professional contracts as well as the contracting of more complex high-performance provider networks. Performs duties to coordinate and support all types of provider contracting in accordance with guidelines in order to maintain and enhance the provider network and to meet accessibility, quality and financial goals.
Required Experience:
Healthcare Provider Contracting, Negotiating experience (Contracting support) 3-5 years
Not looking for procurement experience
Healthcare experience is required
Bringing providers, contractors (Speaking to providers, health systems)
Previous claims experience will be helpful
Previous provider relationship experience is helpful
Essential Functions:
35% Manage Contracting email boxes. Works with the appropriate leader to triage and respond to complex and escalated inquiries from external provider practices or health care entities, as well as internal requests and bring to resolution in a timely manner, or escalate to an accountable party. Follows up to ensure resolution and/or assists with tasks to support resolution.
30% Supporting and organizing contracting related workflows including but not limited to: Carrying out ad hoc mailings, uploading and printing of contracts, updating fee disclosures, editing/updating templates, gathering documentation for audits or other regulatory requirements, researching returned mail and triaging complaints/inquires.
15% Update and maintain supporting documentation, process and standard operating procedures for the department. Provides regular updates to management with regard to identified and outstanding issues or trends.
10% Maintain in-depth knowledge of CareFirst insurance plans, product offering and reimbursement models. Stays abreast of changes and trends in Health Care.
10% Other duties related to provider contracting and networks management as assigned.
Salary : $30
