We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Provider Contracting Operations Specialist will assist with maintaining all contract templates, policies and procedures, and coordinate the delivery of documentation with other business units to ensure cohesion. Assist with reviewing and delivering onboarding provider data. Work closely with the Provider Contracting department to assist with various tasks to ensure consistency is taking place across the department deliverable.

Job Responsibilities/Duties

• Attend cross-functional project strategy meetings as the SME and ensure deliverables are met and completed in a timely manner.
• Understand operational processes to develop policies, procedures, and training materials.
• Understand the organization’s contracting system to draft, monitor, and maintain the Provider Contracting department’s SOPs, policies, and job aides. Act as a SME to support the training of designated users.
• Track and document assignments from initiation through completion.
• Perform user acceptance testing.
• Draft, redline, and manage contract templates and ensure regulatory compliance.
• Create and manage correspondence templates.
• Create and Manage reference library.
• Assist with other duties as assigned.

Qualifications

Minimum Education: Associates degree or five years of relevant contract negotiation or operations experience required. Bachelor’s degree in English, Communication, Business Administration or similar field of study preferred.

Minimum Experience: Contracting administration and negotiations in a managed care environment required. Excellent verbal and written communication skills. Detail oriented and analytical. Strong organizational skills. Ability to manage multi-level and complex organizational structures. Managed Care operations and regulatory requirements for all lines of business. FFS and Capitation contractual arrangements with Primary Care and Specialist providers.

Req. Certification/Licensure: None.

Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals, benefit eligible positions will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

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.

EEOC is the Law: https://www.eeoc.gov/