Contracts Coordinator II - Prime Healthcare Management Inc

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

We are an Equal Opportunity 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.  Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

The Contract Coordinator II, Health Plan Operations is responsible to assist in the management, security and data integrity of the managed care agreements in place for all Prime Healthcare provider entities. Is the primary staff person to maintain the physical/original and electronic managed care contract files. The Contract Coordinator II must effectively interact with Executive, Hospital and Business Office Management and Support Staff. Works independently requiring minimal direction from professional Department staff.

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Education and Work Experience

1. Associate's degree from an accredited institution preferred or High School Graduate with at least 3 years of experience in physician/vendor contracts.
2. Working knowledge of physician credentialing process. Strong follow-up skills.
3. Computer literate with an intermediate knowledge base of Microsoft Excel.
4. Familiarity with CPT and Diagnostic codes, Medicare guidelines and Managed Care contracts.
5. Ability to interact at a professional level with physicians and vendors.

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.62 to $29.10. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.