What are the responsibilities and job description for the Provider Contracting Specialist position at Charter Global?
Title: Provider Contracting Specialist
Location: Baltimore, MD
Duration: 9 Months
Job Purpose
Performs a variety of administrative functions and coordination in support of the provider contracting process and initiatives. Responsible for responding to complex and escalated contracting inquiries from a variety of network providers and care partners related to Medicare, Medicaid
Required Experience
Contracting, Negotiating experience (Contracting support) 3-5 years
Not looking for procurement experience
Healthcare Experience Is Required
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
Location: Baltimore, MD
Duration: 9 Months
Job Purpose
Performs a variety of administrative functions and coordination in support of the provider contracting process and initiatives. Responsible for responding to complex and escalated contracting inquiries from a variety of network providers and care partners related to Medicare, Medicaid
Required Experience
Contracting, Negotiating experience (Contracting support) 3-5 years
Not looking for procurement experience
Healthcare Experience Is Required
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
