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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in contract management, including reviewing, tracking, and negotiating contracts within the healthcare and managed care sectors. Proficient in utilizing Microsoft programs and maintaining complex financial spreadsheets to support effective communication and decision-making.
Highest-signal resume keywords
Contract ManagementHealthcare Industry ExperienceClaims ProcessingMicrosoft Programs ProficiencyDatabase Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract ReviewContract Tracking SystemsClaims ProcessingContract Summaries PreparationFinancial Data Management
Soft Skills
Effective CommunicationProfessionalism in Difficult SituationsOrganizational SkillsPrioritizationIndependent Work
Tools & Technologies
Microsoft Office SuiteSpreadsheets
Certifications & Qualifications
High School Diploma or EquivalentBachelor's in a Related Field (Preferred)
Industry Keywords
Managed CareInsuranceProvider ContractsEmployer Group BenefitsLegal Compliance
About the role
Key responsibilities & impact- Review and understand provider, workers compensation, managed care, and other contracts
- Utilize standard contracting documents
- Develop and implement contract ranking/qualifying and contract tracking systems
- Prepare contract summaries, payor notices, and updates
- Troubleshoot contracts and conduct research projects
- Maintain a history of communication and processes related to contracting
- Track and ensure execution, renewal, and renegotiation of applicable contracts, amendments, and addendums
- Facilitate communication between employer groups, third party administrators, and office staff
- Assist in developing new documents and maintaining standard contracting documents
- Maintain complex spreadsheets of financial and reimbursement data for management
- Interpret employer group and other payer benefits
Requirements
What you’ll need- High School Diploma or Equivalent required
- 3-5 years of experience working in the healthcare industry, insurance, legal and/or Managed Care industry
- Working knowledge of contracts
- Experience in contracting, claims processing, filing, or coding in a provider office and/or clinic, legal, or insurance organization
- Proficient in all Microsoft programs
- Ability to communicate effectively with different levels of management
- Ability to handle difficult situations professionally
- Ability to make routine decisions in accordance with departmental policies and procedures
- Ability to work independently with minimal supervision
- Ability to organize, prioritize, and multi-task
- Preferred: Bachelor's in a Related Field
- Database experience preferred
Benefits
Comp & perks- Medical, Vision, Dental
- Retirement with Employer Match
- Benefits eligibility for employees working 20+ hours/week