Contracts Analyst
Contracts Analyst
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Job Description
Overview
Prime Healthcare is an awardwinning 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 nations leading health systems with nearly 50000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation a 501(c)3 notforprofit 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: Notice for California Applicants: Contracts Analyst originates and maintains physicians and providers contract packets Letter of Agreements (LOA) tracks submission and approval process maintains and updates contact files and amends contracts as appropriate for the selffunded medical plan (EPO). Requires a high level of responsibility confidentiality judgment and discretion in applying department policies procedures and handling confidential information. Communicate effectively in writing verbally and via telephone. Expand our network of providers and make recommendation for management for lacking or contracted providers within Prime network. Performs special projects as assigned by the Corporate Director of Employee Health (EPO).
*This role is based full time in office.
LIVR2 #Onsite
Qualifications
Required qualifications:
- High School Graduate or GED.
- Working Knowledge of physician credentialing process and strong followup skills.
- Knowledge of CPT ICD10 codes Medicare guidelines and Managed Care contracts.
- Working knowledge of selffunded medical plans and/or Managed Care plans.
- Computer literate in Microsoft Office Windows.
- Ability to interact professionally with physicians and vendors.
Preferred qualifications:
- Associates 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 $21.00 to $29.12. 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.
Required Experience:
IC
Employment Type
Full-Time
