Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
POSITION TITLE: Credentialing & Contracting Associate
LOCATION: Angels Camp, California
STATUS: Full-Time, Non-Exempt
STARTING SALARY: $24.56-$29.31
Under the supervision of the Credentialing & Contracting Specialist, this position is responsible for all aspects of the credentialing, contracting, and re-credentialing processes for all MACT providers who provide patient care at any site for MACT Health Board, Inc. The Associate must also work in conjunction with the Compliance and Human Resources Department as it pertains to the development of departmental policies and procedures and provide support services in monitoring the continuity of the healthcare staff activities.
PRIMARY RESPONSIBILITIES
OTHER FUNCTIONS
1. Provide support when processing provider CME (Continuing Medical Education) requests.
2. Provide support to the Human Resources, Billing and AP Departments.
MINIMUM QUALIFICATIONS:
MANDATORY QUALIFICATIONS:
DESIRED ABILITIES
1. Knowledge of basic medical clinic procedures.
2. Professionalism addressing the staff and the public.
3. Ability to use oral and written skills effectively.
4. Ability to communicate in a pleasant and positive manner.
5. Ability to work both independently and with others and be flexible and responsible.
6. Intermediate level computer and software skills.
7. Requires tact, courtesy, discretion, resourcefulness and good judgment in a sensitive manner.
8. Ability to lift cartons, files, forms or supplies up to 50 lbs.
AMERICAN INDIAN PREFERENCE:
Preference in filling of a vacancy will be given to qualified American Indian applicants in accordance with the Preference Act (Title 25, U.S. Code, Sections 472 & 473) and Public Law 93-638, provided the applicant has submitted appropriate verification of Indian preference for employment. Other than the aforementioned requirement, the MACT Health Board, Inc. is an Equal Opportunity Employer.
NOTICE OF DRUG-FREE WORKPLACE ACT REQUIREMENT:
MACT Health Board, Inc. is required to implement the Drug-Free Workplace Act of 1988, 45 CFR Part 79, Subpart F. As such it is unlawful for employees to manufacture, distribute, dispense, possess, or use a controlled substance on the job site. Employees who are reasonably suspected of violating this act may be subject to drug testing as a condition of employment. Employer required fitness examinations shall include drug testing as evidence of employee and employer compliance with the Drug-Free Workplace Act.
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