Contracts Analyst in Ontario, CA at Prime Healthcare

Date Posted: 3/25/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    3480 East Guasti Road
    Ontario, CA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    3/25/2020

Job Description


Responsibilities

The 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 self-funded 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 Benefits Director (EPO).
 
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Qualifications

Required qualifications:
  • High School Graduate or GED.
  • Working Knowledge of physician credentialing process, and strong follow-up skills.
  • Knowledge of CPT, ICD-10 codes, Medicare guidelines, and Managed Care contracts.
  • Working knowledge of self-funded medical plans and/or Managed Care plans.
  • Computer literate in Microsoft Office Windows.
  • Ability to interact professionally with physicians and vendors.
    Preferred qualifications:
  • Associate's degree from an accredited institution.
    We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf