Contract Specialist

• Develop provider contract agreements and legal documents
• Ensure agreements contain proper language, appropriate lines of business, and correct fee schedules
• Monitor and maintain provider files
• Coordinate contract management and ensure executed contracts and amendments are current, compliant, and completed on time
• Identify and analyze information supporting contract negotiations
• Prepare information for contracts, amendments, letters of agreement, and other binding documents
• Represent Network Contract Management in compliance requirements and regulatory adherence initiatives
• Interpret and compile CMS, DOH, and internal audit information requests and develop responses
• Peer review Network Provider documentation and ensure outstanding information is received
• Process provider requests, conduct provider outreach, and respond to contract and fee schedule inquiries
• Develop the Network Provider network through needs identification, outreach, relationship-building, and collaboration
• Coordinate contract implementation, analytics, operational tasks, and provider servicing
• Ensure provider contract-related payments and incentives are timely and accurate
• Collaborate with Family Choice of WNY on skilled nursing facility strategies, contractual arrangements, fee schedules, network maintenance, and facility relationships
• Create department reference tools, tip sheets, and standard operating procedures
• Collaborate with Credentialing, Legal, Provider Network Administration, Reimbursement, Utilization Management, Finance, Claims, Servicing, and other teams
• Participate on cross-functional teams
• Support strategic and corporate goals of management and senior leadership

Contract Specialist jobs in New York

Senior Network Contract Specialist