In this role, the selected candidate will be responsible for adherence to contract insurance provisions and coordinates any requirements in this regard with responsible organization and Corporate Risk Management personnel.
The Medicare Advantage Contracting Administrator (Provider Contracting SR Specialist) is responsible for network development, contracting, and relationship management with hospital and ancillary providers.
As a Contracts Administrator, you will be responsible for structuring, and/or administrating contractual documents relating to annual maintenance and support obligations as well as stand-alone product agreements.
In this role, you will be responsible for review and administer the terms and conditions of contracts, including review and preparation of contract modifications, evaluation of performance under the contract, and contract termination.
In this role, the selected candidate will be responsible for the development and maintenance of the department's policies and procedures; representation at all national, regional and internal audits; serve as primary liaison between Compliance department and Provider Contracting, as well as other departments during preparation for audits.