Contracts and Capitation Assistant SCMG Capitation Administration Sharp Corporate Day Shift Full Time

Sharp HealthCare

Not Interested
Bookmark
Report This Job

profile Job Location:

San Diego, CA - USA

profile Monthly Salary: $ 25 - 35
Posted on: 22 hours ago
Vacancies: 1 Vacancy

Job Summary

Hours:

Shift Start Time:

8 AM

Shift End Time:

5 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$25.550 - $31.860 - $35.680


The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors including an applicants years of experience unique skills and abilities education alignment with similar internal candidates marketplace factors other requirements for the position and employer business practices.



What You Will Do
The Contracts Assistant supports the SCMG Contracts/Capitation Administration Department with contract administration and management corresponds with physicians and vendors and provides audit support and claims research. Assists with the establishment of new and updated provider contracts. Ensures that vendor specific information is maintained and distributed throughout the organization.

Required Qualifications

  • Associates Degree Business Administration Health Care Administration or related field
  • 2 Years in a clerical capacity with intermediate level experience in Microsoft Office Suite: Excel Word Teams Outlook etc.


Preferred Qualifications

  • Experience in healthcare contracts or related.
  • Experience in maintaining positive working relationships with Physicians and Provider representatives.
  • Experience with SharePoint.


Other Qualification Requirements

  • Associates degree in Business Administration Health Care Administration or other related field; experience may substitute for education. - Required


Essential Functions

  • Contract Administration
    Supports with the delivery tracking and distribution of vendor agreements and amendments.
    Supports the department with contractual terms and reimbursement data.
    Ensures the department contract and vendor database remains current.
    Ensures contract information is communicated to appropriate internal departments to ensure accurate contract claim/encounter pricing and other contractual terms.
    Assists the department with research on claims issues.
    Assists the department with contracts and claims audits.
    Assists with the development of reports necessary to support the department.
    Assists the department by validating providers for continued participation with SCMG.
    Assists with other duties as assigned to be completed in an agreed upon format in an agreed upon time frame.
    Demonstrates teamwork by participating in achieving department goals. Shows willingness to help with any task to ensure the success of the department. Works in a spirit of cooperation with all Sharp employees.
  • Clerical Duties
    Responds to telephone email and fax communications.
    Maintains office supplies for the department.
    Ensures all paper-based agreements are converted into electronic files.
  • Quality and Customer Service:
    Provides operational support to internal and external customers.
    Assists in project coordination across the various SCMG departments.
    Maintains service orientation to representatives of SCMG through consistent assessment of needs and timely response to requests.
  • Regulatory Compliance
    Maintains work place in safe condition. Assure appropriate chair height keyboard and screen placement securing electrical wiring observing departmental safety policies and procedures. Reports safety hazards within 1-3 days from time problem first identified.


Knowledge Skills and Abilities

  • Strong interpersonal skills.
  • Strong analytical and problem solving skills.
  • Computer skills including experience with Work and Excel required.
  • Strong administrative and organizational skills.
  • Excellent written and verbal communications skills.
  • Must be PC literate and able to type 45 words per minute.
  • Personal initiative as exhibited by utilizing time between routine workloads assisting co-workers with varying tasks and asking supervisor for additional tasks.
  • Strong customer service orientation and commitment to excellence.
  • Sound professional demeanor and the ability to establish credibility throughout the organization.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race religion color national origin gender gender identity sexual orientation age status as a protected veteran among other things or status as a qualified individual with disability or any other protected class


Required Experience:

Junior IC

Hours:Shift Start Time:8 AMShift End Time:5 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$25.550 - $31.860 - $35.680The stated pay scale reflects the range that Sharp reasona...
View more view more

About Company

Company Logo

As San Diego’s largest and most comprehensive health care system, SHARP HEALTHCARE offers a wide array of job opportunities. Search and apply today.

View Profile View Profile