Job Number: 1660

Workplace Type:

Position Title: Contract Administrator

External Description:

The Contract Administrator will be accountable for driving the production of contract documents to completion including reviewing, analyzing, revising, tracking and maintaining contracts.  Accurately maintain records and files of work and revisions. Solves problems and is a critical thinker; learns quickly, and produces excellent conclusions and solutions to a given situation. Uses multiple problem-solving tools and techniques. Possess excellent written and verbal communication skills with proficient command of grammar, punctuation, spelling and correct usage of the English language.  Strives to finish everything he/she starts. Embraces change and works toward the common cause and communicates what needs to be done.   Superior organizational and time-management skills with the ability to multitask with shifting priorities.  Must have and express a team mentality.  Assists the department in managing other projects and administrative tasks as needed, including arranging meetings.

The Contract Administrator will be self-motivated, and maintain highest ethical and professional standards, with commitment to excellence.

Essential Duties and Responsibilities

Essential duties and responsibilities include but are not limited to:

1. Auditing and quality control of the contract administration process and monitoring the oversight of contracts internally and externally. Coordinating contract and provider implementation, and communication.
2. Oversees the accurate routing of contracts and notification of changes before such documents are loaded in the system.
3. Update and maintain contract templates.
4. Oversees the administration and security of contracts/contract files hard copy and electronically.
5. Performs da entry, i.e. network comparisons, network adequacy, etc.
6. Coordinates with Provider Services and Provider Data Units to ensure contract workflows are in place and appropriate.
7. Coordinates with Credentialing Department to ensure new providers are accepted by AHC
8. Assists with development, revision and quality control of contract templates and contracting guidelines. Audits, monitors and reports contract language provisions internally or externally if requested.    
9. Manages departmental reporting requirements, and ensures all required regulatory and contractual reports are submitted accurately and timely.
10. Supports department needs for creation and updates of policies and procedures regarding all contract areas. Ensure repository for policy and procedures are effectively maintained and that the information is current and concise.
11. Assist with network expansion – call on potential providers to obtain contact person, obtain credentialing document, confirm that provider is willing to negotiate with us.
12. Conduct OIB/GAS checks, website searches, etc. Accurately maintain records and files of work and revisions. Solves problems and is a critical thinker; learns quickly, and produces excellent conclusions and solutions to a given situation. Uses multiple problem-solving tools and techniques. Possess excellent written and verbal communication skills with proficient command of grammar, punctuation, spelling and correct usage of the English language
13. Assists with the research and network development activities to ensure expansion of provider network within established geographic areas and time frames. Preparing contract/provider network data for submission to regulatory bodies within required timelines. 
14. Cultivate successful interactions and relationships with counterparts and co-workers.
15. Other projects and department administrative duties as assigned, including follow-up and reporting on project status and general office duties.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Education and/or Experience:  Two years post high school college education or four year college degree preferred.  Minimum 2 years administrative/office experience. 
2. Supervisory experience:  None required.
3. Certificates, Licenses, Registrations:  None required.
4. Other Qualifications: 
5. • Excellent English written and oral communication skills.
   • Excellent follow-through and ability to follow instructions accurately.
   • Ability to manage multiple demands and quick turnaround requirements.
   • Experience creating and revising contract templates preferred
   • Computer literacy to include proficient use of Microsoft Office (Word, Excel, Powerpoint, etc.)
   • Excellent interpersonal skills.

Skills and Abilities

1. Language Skills:  Ability to read and interpret documents such as contracts and maintenance and procedure manuals.  Ability to speak effectively in a group.
2. Mathematical Skills:  Ability to calculate figures and amounts.
3. Reasoning Skills:  Ability to apply common sense understanding to carry out detailed but involved written or oral instructions.  Ability to deal with problems involving concrete variables in standardized situations. 
4. Other Skills and Abilities:
5. 1. Detail oriented.
   2. Excellent written and oral communication skills.
   3. Presents professional image.
   4. Follow instructions accurately.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.
2. The employee is frequently required to reach with hands and arms.
3. The employee is occasionally required to stand; walk; climb or balance and stoop, kneel, crouch, or crawl.
4. The employee must occasionally lift and/or move up to 15 pounds.
5. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
6. Ability to drive occasionally drive to meetings.

Working Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

City: Orange

State: California

Location City: Orange

Location State: California

Community / Marketing Title: Contract Administrator (Temporary)

Company Profile:

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].