What are the responsibilities and job description for the Contracting Administrator position at MetroPlusHealth?
Position Overview
Provide technical administrative support for all network development and contracting activities. The primary focus of the position will be on outreach, recruitment, and contracting of Behavioral Health providers.
Job Description
- Research and Prepare provider contracts after credentialing is completed in Contract Lifecycle Management System (CLM).
- Build and maintain relationships internally and externally and work with integrated and matrix partners.
- Understand contract lifecycle, negotiation, and provider engagement.
- Communicate to Managers, providers, and appropriate decision makers any practices, policies and procedures that create inefficiencies.
- Reconcile any reporting errors and make updates in Credentialing and Contracting systems as needed.
- Develop reports across various functional areas to measure process-outcome relationships and recommend necessary process adjustments.
- Assist with the generation of monthly Provider Network reports (BH Exhibit 4 / C / MAP) as well as ad hoc reports as needed.
- Work with Contract Administrators to prepare and submit contracts to Contract Core Configuration (CCC) system.
- Create data visualizations of various complexities to communicate insights, opportunities, and risks to different audiences.
- Maintain the Behavioral Health Network contracts and provider supporting data.
- Investigate discrepancies in expected outcomes and conduct root cause analysis for terminating Providers.
- Make the appropriate systems updates to reflect provider contract status. Update contracting information in Cactus and Contracting Database (amendments, terminations, etc.).
- Outreach providers for Network growth and development assignments as applicable or when requested.
- Build relationships with provider community to foster growth in Behavioral Health and Physical Health Networks.
- Conduct analyses and assignments with accuracy and consistency when required.
- Work on special projects as needed, and assist in all areas of the Provider Contracting Department
- Identify network need, recruit, and contract providers / facilities to meet and maintain regulatory network compliance.
Minimum Qualifications
Professional Competencies
Salary : $53,800 - $63,800
