Date Posted: 11/15/2019
Location: York, PA 17404
Company: SpiriTrust Lutheran
Job Type: Full Time
SpiriTrust Lutheran is hiring a Contract Administrator
Education/Training: Degree in finance, business administration, pre-law, health care administration or related field.
Skill(s): Proficient reading, writing and grammatical skills; proficient in interpersonal relations and communication skills, including pleasant telephone manner and speaking voice; ability to work independently and to establish and maintain effective working relationships; extensive knowledge of Word and/or Excel and ability to learn specialized industry applications; knowledge of contracting language and regulations; knowledge and understanding of third-party payor and government insurance programs; demonstrated ability to negotiate agreements with a variety of provider and vendor types; valid driver’s license and dependable means of transportation.
Experience: A minimum of two (2) years of experience executing third-party payor, vendor, and/or provider contracts.
Responsible for performing contracting assignments in support of procurement activity, provider contracting and third party reimbursement for SpiriTrust Lutheran; preparing licensure and credentialing application; maintaining required documentation for contract workforce members; evaluating process and identifying methods of improvement to efficiency and effectiveness; utilizing departmental reporting and system capabilities in conjunction with contract management process; understanding operations and business process in order to ensure contracts that are most beneficial to SpiriTrust Lutheran; coordinating with other departments; complying with operating policies and procedures and regulatory requirements; communicating with appropriate personnel; responding to inquiries or requests for information; maintaining appropriate records and providing assigned reports.
Supports the mission of SpiriTrust Lutheran, which is to witness to the Gospel of Jesus Christ, providing exceptional health, human and senior living services by supporting persons in achieving an optimal quality of life.
Manages the contracting activities of the agency as follows:
Executes and administers contracts including but not limited to:
Third party reimbursement contracts for services provided by the agency to residents, program clients and/or participants.
Contracts with health care providers for the provision
Vendor contracts in order to procure goods and services.
Coordinates contract termination procedures.
Ensures contracts contain provisions that minimize contract risk such as Certificates of Insurance, inclusion of hold harmless/indemnification clauses, exclusion checks, and termination clauses when appropriate.
Manages the Certificates of Insurance and Business Associate agreements that are to be provided and to be maintained for contracts and credentialing purposes in accordance with program requirements.
Coordinates a consistent practice of obtaining and checking references to verify quality of goods and services.
Uses common contracting methods and contract types related to pre-award, post-award and/or price/cost analysis functions to provide for well-defined and precedent contract actions.
Drafts contract provisions and supporting documents.
Ensures the alignment of contract provisions with agency policies and procedures, recommending amendments to the Chief Financial Officer or her/his designee as needed.
Ensures documentation of contract information is properly maintained to meet legal, licensing, certification and reimbursement requirements through dictation, written summarization or computer data entry.
Ensures completion of contract related credentialing and re-credentialing requirements.
Ensures compliance with HIPAA, IRS and other regulations relative to contractors.
Ensures timely renegotiation and renewal of expiring contracts.
Monitors contract payment or reimbursement rates and, in consultation with responsible director, renegotiates reimbursement or payment rates for those contracts which are not financially advantageous to the agency.
Serves as a resource person to agency staff on contracting and credentialing issues.
Completes licensure and enrollment applications as assigned
Cooperates with, participates in and supports the adherence to all internal policies, procedures and practices, laws and regulatory requirements.
Works harmoniously with others.
Coordinates specific work tasks with other personnel within the department as well as with other departments in order to ensure the smooth and efficient flow of information.
Communicates with his/her supervisor, other supervisors, community relations coordinators and appropriate staff in order to integrate activities.
Responds to inquiries relating to his/her particular area, or to requests from other personnel, clients, etc. within given time frames and within established policy.
Maintains appropriate records and provides assigned reports.
Supports and advances the Lean philosophy in all endeavors.
Performs tasks which are supportive in nature to the essential functions of the job, but which may be altered or re-designed depending upon individual circumstances.