Job Information
Prime Healthcare Contracts Coordinator I in Ontario, California
Overview
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Responsibilities
The Contracts Coordinator will work with the Contract Analyst to collect necessary documentation needed to fully execute Provider contracts and Letter of Agreements (LOA) for the self-funded medical plan (EPO). The Contracts Coordinator will also be responsible for contract maintenance, Provider/Provider Group demographic changes, re-occurring roster and documentation verification as well as assisting with Provider communications as necessary. The position requires a high level of responsibility, confidentiality, judgment and discretion in applying department policies, procedures and handling confidential information. Must communicate effectively, in writing, verbally and via telephone. Will perform special projects as assigned by the Corporate Director of Employee Health (EPO) and the Director of Network Development & Provider Relations (EPO).
Qualifications
Required qualifications:
- High School Graduate or GED.2. Working Knowledge of physician credentialing process, and strong follow-up skills.3. Knowledge of Managed Care contracts and the contracting process.4. Working knowledge of self-funded medical plans and/or Managed Care plans.5. Computer literate in Microsoft Office Windows & Excel.6. Ability to interact professionally with physicians and vendors.
Preferred qualifications:
- Associate degree from an accredited institution.
Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $19.46 to $26.19. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Connect With Us! (https://careers-primehealthcare.icims.com/jobs/173079/contracts-coordinator-i/job?mode=apply&apply=yes&in_iframe=1&hashed=-336024306)
FacilityPrime Healthcare Management Inc
LocationUS-CA-Ontario
ID2024-173079
CategoryAdmin
Position TypeFull Time
ShiftDays
Job TypeNon-Exempt