Contract Administrator

This person needs to have some sort of contracting experience. They will be like an admin assisting higher level negotiators. They will be ensuring that all documentation within the contract is complete and accurate. They will also maintain databases of networks and ensure accurate claims are being processed.

Position Purpose: Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary documentation and information are included.

• Recruit and develop network for a region and set of provider

• Lead assigned recruitment's (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives

• Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication

• Initiate contact and identify potential providers by geographic and specialty needs and update database

• Coordinate with internal departments and contracted providers to implement and maintain contract compliance