What are the responsibilities and job description for the Managed Care Contract Specialist position at Lafayette Home Office?
The Managed Care Contract Specialist supports the Managed Care team.
- Review contract terms and assist in analysis of reimbursement for Payor Contracts.
- Complete redlines on Payor Contracts and return to Payor for review.
- Prepare Contract Approval Form for internal circulation of new contracts.
- Notify Operations and Sales teams of contract terms once effective.
- Work with Revenue Cycle teams to resolve any issues arising from contracting issues.
- Ensure that all contracts are signed, shipped, countersigned and processed in a timely manner.
- Performs a variety of legal and analytic assignments under the direction of the SVP of Payor Strategy and Contracting Manager.
- Demonstrates a positive, flexible, customer comes first attitude.
- Manages special projects and perform other related duties as assigned.
- Prioritize and manage assignments quickly, accurately, and efficiently.
- Participates in and facilitate the preparation, execution, negotiation and administration of agreements, contracts and other managed care documents.
- Completes the pro forma and key terms sheet after SVP of Payor Strategy and Contracting Manager coordinate with Decision Support.
- Uphold strict confidentiality at all times regarding all managed care matters, including but not limited to pending and completed negotiations and acquisitions.
- Responsible for tracking all contracts, with particular emphasis on renewals and expiration's and keep internal clients and others informed of contract status and related issues.
- Maintain pending and completed contracts in an organized and accessible system.
- Assist with the load of all appropriate information in systems for the Revenue Cycle Department to access for eligibility/authorization/billing guidance.
- Prepares letters of Intent at the direction of the Contracting Manager.
- Manages RFPs at the direction of the Contracting Manager.
- Responsible for completing language changes at direction of Contracting Manager.
- Responsible for completing Key Terms worksheet based on pro forma information gathered prior to contract signatures.
- Attends conference calls as needed during contract negotiations.
- Responsible for completing termination letters as needed for contracts.
- Assists when needed to complete acquisition letters to send to payers.
- All other duties as assigned.
- Formal Education: High School Diploma or equivalent
- College education preferred.
- Must be highly organized, efficient, and able to handle multiple tasks with ease and professionalism.
- Must possess administrative, analytical, problem-solving, and time management skills.
- Must have a thorough working knowledge of computers and applicable office software including Microsoft Office Suite (Adobe Professional, Outlook, Word, Excel, Access, Power Point), internet research, and database programs.
