What are the responsibilities and job description for the Managed Care Contract Specialist position at P3 Health Partners Brand?
People. Passion. Purpose.
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.
We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.
We are looking for a Provider Contract Specialist. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Tucson, Arizona then you should consider joining our team.
Provider Contract Specialist
Overall Purpose:
The Provider Contract Specialist is responsible for a range of professional provider contracting, provider relations and service interactions with providers that ensure our patients have superior access to the highest quality, cost-effective providers of healthcare services.
Education and Experience:
- Bachelor’s degree preferred
- Must have a minimum of three years of work experience in managed care and strong relationship building skills or may substitute education for experience
Knowledge, Skills and Abilities:
- Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy.
- Must have excellent verbal and written skills.
- Must be able to interact and communicate with individuals at all levels of the organization and external parties.
- Must have proficient to expert level of knowledge of variety of computer software applications in word processing, spreadsheets, database, and presentation software (Word, Excel, Access, PowerPoint).
- Work requires continual attention to detail in composing, typing and proofing contracts.
- Must be able to work in a fast-paced environment with demonstrated ability to manage multiple projects and ability to prioritize tasks and demands.
- Excellent organization skills.
Essential Functions:
- Responsible for building positive relationships with providers and practice managers.
- Acts as a liaison for various contracting projects for primary care physicians, specialists and some ancillary providers.
- Training and development of external provider education programs and internal programs.
- Assists in filling identified gaps in network composition and services to assist the department and as assigned.
- Completing assigned remediation and operational short-falls and researching and remediating issues.
- Handles confidential and non-routine information.
- Delivers assigned projects on time and compliant to applicable state and federal regulations.
- Organizes and prioritizes large volumes of information.
- General administrative duties.
