Managed Care Contract Coordinator I

The Managed Care Contract Coordinator is responsible for ensuring contracts are accurate and compliant with regulatory guidelines, by reviewing all contact details, and ensuring approvals are received for non-standard agreements.

Fully Remote

40 hours week / 5-month contract

Essential Functions :

• Ensure contracts are accurate and compliant with regulatory guidelines, by reviewing all contact details, ensure approvals are received for non-standard agreements
• Create basic contract documents for new providers, obtain any missing documentation to complete a provider packet
• Coordinate efforts with internal departments and providers offices to complete and obtain missing documentation
• Perform auditing of the contract, attachments and other provider documents for accuracy and completeness
• Promptly and accurately notate internal systems of all data maintenance requests
• Prepare documentation when applicable to facilitate data maintenance updates, ensuring all documentation is compliant with state, federal and all applicable governing entities
• Proficient in all systems needed to create, research and process maintenance
• Assure compliance with corporate policies and procedures.
• Assist with Recruitment efforts by placing outbound calls to leads and / or preparing / tracking and following up on mass mail projects.
• Field incoming calls from providers regarding contract or amendment status
• Assist Contractors with preparing for Orientations by ordering packets, supplies and if necessary, assisting on-site with sign-in etc.
• Assure the confidentiality of provider information and ensure all provider files are securely stored at close of business each day.
• Knowledge of all regulatory requirements and internal processes to ensure that all maintenance and contractual documents are managed to expectations
• Meet departmental productivity and quality standards
• Perform any other job duties as requested

Education and Experience :

Competencies, Knowledge, and Skills :

PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to : veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.