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CONTRACT COORDINATOR

 

The Center for Elders Independence is a non profit organization serving frail elders in the East Bay. Our innovative, all-inclusive, long-term health care program (PACE Program) provides the frail elderly with all the care they need, allowing them to maximize their health & independence and remain close to their family members and within the community. We currently have a full-time opening for a Contract Coordinator.

 

The Position: The Contract Coordinator maintains agency contract and

credentialing files as directed by chiefs and according to agency policies and procedures. This includes reviewing contracts for consistency and compliance

 with State and Federal regulations and negotiating new contracts and rates as

directed by the chiefs. In addition the Contract Coordinator is responsible for

providing education to independent contractors and healthcare providers including maintaining and distributing the provider manual. 

 

DUTIES AND RESPONSIBILITIES:

 

CONTRACTS

  1. Develop and evaluate contracts for clarity and consistency as directed by chiefs.
  2. Ensure that contracts are in compliance with DHS and CMS regulations.
  3. Negotiate new contracts and rates supportable by CEI capitation formulas. 
  4. Provide CEI program staff with current lists of contracted healthcare providers and independent contractors. 
  5. Work with consultants and attorneys to keep CEI contracts current with all State and Federal regulations.
  6. Participates in the selection of or changes to the contract maintenance software and implementation.
  7. Maintain current, accurate, secure and organized filing system for all agency contracts.
  8. Monitor adequacy of healthcare provider network to ensure that it meets the specialty, ancillary and hospital needs of CEI participants. Communicate issues with the network to the chiefs.
  9. Conducts research and development to expand the network of providers and healthcare services as directed by chiefs.
  10.  Inform CFO and CMO of identified barriers to meeting goals and offer solutions in a timely manner.

 

QUALIFICATIONS:

  1. Requires a BA or BS degree. An MBA is preferred.
  2. A minimum of two years medical services contracting experience preferred.
  3. Requires at least 5 years increasingly responsible management-level experience and supervision of direct reports.  Ability to work in situations that require diplomacy, creativity, and a high level of professionalism.
  4. Proficiency with Microsoft office applications. Excellent knowledge of Excel and Word.  Experience with Access or other database software.
  5. Demonstrated experience reviewing, interpreting and negotiating contracts with a high degree of professionalism and expertise.
  6. Ability to solve problems and recommend alternative negotiation techniques and compromise outcomes.  Ability to effectively analyze and prioritize complex issues.
  7. Demonstrates ability to plan, organize and meet deadlines taking into account changing priorities.
  8. Ability to work independently and in a collaborative environment.
  9. Excellent communication and organizational skills. Ability to compose original professional level correspondence and to prepare concise, accurate, and well-organized reports.
  10. Ability to work effectively in a multi-disciplinary, multi-cultural environment.
  11. Must have a valid California Drivers License and current auto insurance.
  12. Business travel may be required to attend seminars and conferences.
  13. Experience with planning, facilitating and documenting meetings.

Beyond a competitive compensation & benefits program, our employees receive the ultimate reward - the fact they made a positive, noticeable impact in the life and wellness of a fellow human being. Please forward your resume and cover letter to:

Center for Elders Independence
Attn: Job# CEI.6.9.2008-CC
510-17th Street, 4th Floor
Oakland CA 94612
FAX: (510) 452-8836
Email: hrjobs@cei.elders.org

We are proud to be an equal opportunity employer, and strongly
encourage applications & responses from all walks of life.

www.cei.elders.org