What are the responsibilities and job description for the Contract Specialist position at Ohm Systems?
Summary:
Seeking a Contract Specialist to manage provider contracts, ensure compliance with regulations, and maintain accurate contract records. This role involves auditing contract documents, monitoring records management, and collaborating with various departments to resolve contract administration issues in a fast-paced environment.
Position Info:
- Title: Contract Specialist
- Client: AmeriHealth Caritas
- Duration: 3 Months
- Location: 3875 West Chester Pike Newtown Square PA 19073
- Work Mode: Remote work
Responsibilities:
- Maintain and audit provider contracts and records for accuracy and completeness
- Ensure contract data is correctly represented in plan operating systems
- Monitor contract files and ensure compliance with records management policies
- Research and resolve discrepancies in provider data and credentialing information
- Support provider enrollment, credentialing, and network strategy teams
- Communicate and escalate contract issues as needed
- Manage Excel reports and other projects related to contract administration
Skills/Qualifications:
- Experience:
- 3 years of Medicaid experience preferred
- 5 years in managed care/health insurance preferred
- Prior provider relations or healthcare provider experience preferred
- Expertise in contract administration and provider record management
- Strong problem-solving, organizational, and project management skills
- Proficiency in Microsoft Office, Excel, and contract management systems
- Familiarity with claims processing and systems like Facets
- Excellent verbal and written communication skills, with strong proofreading abilities
- Education: Bachelor's degree or equivalent work experience
