Contracts Specialist - Health Plan

Johnson Service Group (JSG) is seeking a Contracts Specialist for a Healthcare Plan organization in Orange County, CA. Onsite I 6 Month Contract Pay $35.00- $45 per hour

Preferred Qualifications:

Experience negotiating single patient agreements, professional and ancillary contracts. Experience with elementary data analysis.

Minimum Qualifications:

Associate degree PLUS 2 years of work experience related to managed care or related field required or an equivalent combination of education and experience sufficient to successfully perform the essential duties.

Duties and Responsibilities:

Contract Support Evaluates out of network requests from medical management, assesses in-network providers for redirection and attends daily staff meetings to discuss outcomes. Negotiates single patient agreements for members directed out of network and serves as a point of contact for provider inquiries. Assists Contracts Managers with contract creation, distribution and collection of outstanding contract documents. Maintains electronic library of provider contacts and contracts on shared drive and contract management system/database. Responds to inquiries regarding contract status, network rosters provider reimbursement and application/credentialing status in a timely manner. JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.#D800