Coordinator, Contracts

The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

This is a remote role; however, potential employees MUST reside in California.

What You Will Be Doing:

Under direct supervision, responsible for overseeing the configuration and maintenance of the contracting database to ensure data accuracy, and the timely and accurate processing of provider contracts, contract amendments and provider data.

• Enters and oversees the entry of new and updated data and documents, including contracts and contract templates.
• Compiles, develops and produces ad hoc and scheduled internal and external reports.
• Updates and maintains system functionality and configuration, obtaining approval for non-routine items; identifies and resolves issues and incidents.
• Manages or assists in the implementation of system releases, upgrades or new software.
• Develops and implements procedures, guidelines and other artifacts; ensures dissemination among staff.
• Prepares for internal and external audits, and participates in preparation of recommendations, responses and reports.
• Conducts audits to ensure accuracy and compliance of data and information, including related systems.
• Responds to questions related to provider information required for accurate and timely provider input into QNXT.
• Prepares and distributes contracts and other documents, including mass mailings.

What You Bring:

Knowledge, Skills, Abilities and Competencies

• In-depth knowledge of health plan contracting processes.
• In-depth knowledge of provider contract components and language.
• Basic knowledge of database concepts and terminology, including interrelationships between data fields.
• Ability to enter, manipulate, extract and generate reports from relational databases.
• Basic knowledge of audit processes, and ability to effectively implement and maintain them.
• Basic analytical skills, including the ability to perform routine analysis, using identified data, information and/or issues, and provide recommendations.
• Produces work that is accurate and complete.
• Produces the appropriate amount of work.
• Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
• Rebounds from setbacks and adversity when facing difficult situations.
• Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
• Ability to read, understand and apply complex written guidelines, instructions and other materials.
• Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
• Strong oral and written communication skills, with the ability to communicate professionally, effectively explain complex information, and document according to standards.
• Strong listening skills, with the ability to accurately receive and understand messages.
• Time management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his/her efforts on the more important priorities. Can attend to a broader range of activities. Meets deadlines.
• Demonstrates a commitment to HPSJ’s strategy, vision, mission and values.
• Ability to work independently and as part of a team.
• Basic mathematics skills.
• Intermediate skills in Word and Excel.
• Basic skills in Windows, Outlook and PowerPoint.
• Ability to handle confidential information with appropriate discretion.
• Ability to speak and be understood in English.

Preferred

• Knowledge of credentialing and authorization systems and data.
• Knowledge of provider and/or facility contract and payment structures, and reimbursement practices, including capitation.
• Knowledge of medical coding and terminology.
• Knowledge of managed care and/or state sponsored programs and regulations.
• Knowledge of and ability to use report generation software such as Business Objects and/or SQL Server Reporting Service (SSRS).

What You Have:

Education and Experience

Required

• Associate’s Degree; and
• At least two years in a similar position; or
• Equivalent combination of education and experience.

Preferred

• Bachelor’s Degree
• Experience in managed care and/or Medi-Cal

Licensure, Certification, Registration

What You Will Get:

HPSJ Perks:

• Competitive salary
• Robust and affordable health/dental/vision (90% paid medical for employees and 100% paid dental/vision for employees) with choices in providers
• Generous paid time off (starting at 3 weeks of PTO, 4 paid floating holidays including employee’s birthday, and 9 paid holidays)
• CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
• Two flexible spending accounts (FSAs)
• Employer-Paid Term Life and AD&D Insurance
• Employer-Paid Disability Insurance
• Employer-Paid Life Assistance Program
• Health Advocacy
• Supplemental medical, legal, identity theft protection
• Access to exclusive discount mall
• Education and training reimbursement in addition to employer-paid elective learning courses.
• A chance to work for an organization that is mission-driven – our members and community are at the core of everything we do.
• A shorter commute ­– if you’re commuting from the Central Valley to the Bay Area.
• Visibility and variety – you have a chance to work with people at all levels of the organization, and work on diverse projects.

Our Vision:

Continuously improve the health of our community.

Our Mission:

We provide healthcare value and advance wellness through community partnerships.

We are an equal opportunity employer and diversity is one of our core values. We believe that differences including race, ethnicity, gender, sexual orientation and other characteristics, will help us create a strong organization that is sensitive to the needs of those we serve. Employment decisions are made on the basis of qualifications and merit.

HPSJ provides equal employment opportunities to employees and applicants for employment and prohibits discrimination based on color, race, gender (including gender identity and gender expression), religion (including religious dress and grooming practices), marital status, registered domestic partner status, age, national origin (including language use) or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military or veteran status, political affiliation or any other characteristic made unlawful by applicable Federal, State or local laws. It also prohibits unlawful discrimination based on the perception that anyone has these characteristics, or is associated with anyone who has or is perceived to have these characteristics.