Overview of Position
Change Healthcare is seeking a Contract Coordinator to join our Financial Risk Management Team. The ideal candidate for this job will be energetic, an effective communicator, and ambitious to drive meaningful change. Prior working knowledge of facility contracts and a passion to "analyze" is a required skillset to successful in this role. The Contract Coordinator will work in a collaboration with an array of Change Healthcare members and external customers. The Contract Coordinator will be comfortable seeking counsel and taking prompt action, which will allow for overall tracking of contracts for Change Healthcare clients, facilities, and vendors.
What will be my duties and responsibilities in this job?
Responsible for preparation and verification of contracts and associated tasks to maintain internal/external compliance.
Maintains, reviews, retrieves contract documents as needed.
Checks submitted documents for completeness and compliance with federal or state regulations and company policy.
Maintains knowledge of commonly used concepts, practices, and procedures related to the contract process.
Maintains general understanding and ability to provide detailed information regarding the Payer Provider agreements with respective payment of claims i.e. percentage of charge, base rates, stop loss amounts, transfers, DRG rates, readmissions, or other payment terms which impact claim payment.
Supports and coordinates all aspects of the provider contract inclusive of internal/external inquiries, maintenance of provisional terms, and required amendments.
Routinely interacts with clients and internal departments to ensure timely execution of contracts and processes notifications regarding reimbursement terms or other relevant provisions.
Such work will require extensive follow up, research, analysis, and organizational skills.
What are the requirements needed for this position?
Bachelor's degree preferred or equivalent work experience
Minimum of two (2) years of experience working with Health Plan or related environment with a focus on provider relations, contracting, and respective payment methodologies.
Considerable knowledge of managed care terms including principles and practices of health care service delivery including HMO, ACO, Medicare, & capitation versus fee for service
Ability to express ideas clearly in both written and oral communications
What other skills/experience would be helpful to have?
Strong proficiency in Excel, and other MS Office applications (Outlook, Word, Access, Teams)
Possess the ability to be creative in critical thinking and strong problem-solving skills
Ability to independently plan and organize own activities
What are the working conditions and physical requirements of this job?
General Office Demands
The position can be remote.
How much should I expect to travel?
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to email@example.com "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.
Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdfto view our pay transparency nondiscrimination policy.
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.