Contracts Administrator CCS Medical Holdings, Inc.
THIS JOB HAS EXPIRED Overview:
Responsible for Managed Care Organization (MCO) documentation analysis from a contractual perspective. Charged with analyzing and presenting contract implementation solutions for CCS Medical for consideration.
Compiles MCO documentation and records it into PIMS for tracking purposes
Analyzes related MCO documentation from a contractual perspective
Uncovers all aspects of contract functionality and the impact operationally
Provides detailed outlines of the overall work flow and implementation of contractual requirements
Compiles and proposes actions based on analysis
Involved in the analysis of operational opportunities within CCS Medical
Assists in the completion of applications to grow current and future business
Assists in the maintenance of existing contracts to retain existing business
Assists in the analysis of signed contracts to extract data and evaluate existing business
Inputs data for PBM transactions and assists in resolution of network issues
Communication with MCO to resolve problems or issues and to seek guidance or clarification of contractual provisions as well as operational and reimbursement requirements.
High school diploma or GED equivalent with 2+ years of related experience, or equivalent combination of education and experience.
In-depth knowledge of multiple department operations preferred.
Ability to read, analyze and interpret common scientific and technical journals, financial reports and legal documents; ability to respond to common inquiries or complaints from customer, regulatory agencies, or members of the business community; ability to write speeches and articles for publication that conform to prescribed style and format; ability to effectively present information to top management, public groups, and/or boards of directors
Ability to define problems, collect data, establish facts and draw valid conclusions; ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables
||Farmers Branch, TX |
THIS JOB HAS EXPIRED