Contracts Analyst

Prime Healthcare

Ontario, CAFull-time$24.77–28.25/hrSeen 2w agoSeen in employer's feed 3 days ago

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At a glance

Compensation

$24.77–28.25/hr

Location

Ontario, CA

Schedule

Full-time

Work Authorization

Not specified

Olive lists jobs from US employers, including remote roles you can work from the United States.

Job overview

Prime Healthcare, an award-winning health system based in Ontario, California, operates 54 hospitals and over 360 outpatient locations, serving more than 3 million patient visits annually. The organization seeks new members to join its corporate team as a Contracts Analyst.

Skills & qualifications

RequiredNice to have

Skills

Physician CredentialingFollow-Up SkillsCPT ICD-10 Medicare Managed Care KnowledgeSelf-Funded Medical Plans KnowledgeMicrosoft Office WindowsProfessional Interaction With Physicians and VendorsAssociate's Degree

Qualifications

High School Graduate or GEDAssociate's Degree

Benefits

Paid Time Off

401(k) Match

Medical Insurance

Dental Insurance

Vision Insurance

Tuition Assistance

Full job description

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Responsibilities

The Contracts Analyst originates and maintains physicians and providers contract packets, Letter of Agreements (LOA), tracks submission and approval process, maintains and updates contact files and amends contracts as appropriate for the self-funded medical plan (EPO). Requires a high level of responsibility, confidentiality, judgment and discretion in applying department policies, procedures and handling confidential information. Communicate effectively, in writing, verbally and via telephone. Expand our network of providers, and make recommendation for management for lacking or contracted providers within Prime network. Performs special projects as assigned by the Corporate Director of Employee Health (EPO).

Qualifications

Required qualifications:

High School Graduate or GED.
Working Knowledge of physician credentialing process, and strong follow-up skills.
Knowledge of CPT, ICD-10 codes, Medicare guidelines, and Managed Care contracts.
Working knowledge of self-funded medical plans and/or Managed Care plans.
Computer literate in Microsoft Office Windows.
Ability to interact professionally with physicians and vendors.

Preferred qualifications:

Associate's degree from an accredited institution.

Pay Transparency

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $24.77 to $28.25. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

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FacilityPrime Healthcare Management Inc

LocationUS-CA-Ontario

ID2026-282247

CategoryBusiness Professional

Position TypeFull Time

ShiftDays