Job details

Contract Administrator - Group Health - Hybrid

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Overview

Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process.

The Group Health Contract Administrator position is primarily responsible for supporting the Group Health Contracting Department and other departments within Concentra such as clinical and billing areas.

Responsibilities

• Performs/calculates simple to complex rate analyses• Conducts contract comparisons for language variances• Develops, maintains, and posts all field resource tools such as contract summary/grid documents• Notifies contracted payers of demographic changes including new facility openings, closures, and changes in Doing Business As (DBAs), legal names, Tax Identification Numbers (TINs), remittance addresses, and other demographic information. Follow up with payers to ensure all demographic changes are completed/loaded into the payer systems. Serve as primary payer liaison for these issues• Performs various audits to ensure all field and internal resource tools for group health match to ensure accuracy in reporting and data integrity• Develops and maintain state specific payer lists, including payers accessing facilities through network contracts• Serves as central point of contact for fields and payers for all contract issues other than negotiation/renegotiation• Establishes and maintains payer website access for all internal, field and billing office teams• Establishes and maintains tickler file and notification system of contracts which should be reviewed for potential renegotiation• Submits monthly payer notifications for all facility and provider demographic changes

This job description is not designed to cover or contain a comprehensive listing of activities, duties orresponsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Scope measures

No direct or indirect reports
No budgetary responsibility

Qualifications

Education/credentials

High school diploma or equivalent.

Job-related experience

3 years of experience with contract administration or equivalent in a group health setting.

Job-related skills/competencies

Knowledge of contract administration processes in a group health setting.

Ability to accurately type.

Detail oriented and highly organized.

Ability to utilize all proprietary CONCENTRA software programs.

Ability to work independently within guidelines and company policies.

Ability to effectively present information and respond to questions from managers, clients, and customers.

Ability to communicate effectively; must present in a professional, courteous, and tactful manner.

Ability to read and comprehend standardized instructions, short correspondence, and memos.

Ability to effectively present information in one-on-one situations to other employees, providers and clients.

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

Ability to apply commonsense understanding to carryout instructions furnished in written, oral, or diagram form.

Additional Data

Employee Benefits

401(k) Retirement Plan with Employer Match
Medical, Vision, Prescription, Telehealth, & Dental Plans
Life & Disability Insurance
Paid Time Off
Colleague Referral Bonus Program
Tuition Reimbursement
Commuter Benefits
Dependent Care Spending Account
Employee Discounts

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation, if required.

*This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management*

Concentra is an Equal Opportunity Employer, including disability/veterans

What You Should Know About Contract Administrator - Group Health - Hybrid, Concentra

As a Contract Administrator for Group Health at Concentra, you'll play a pivotal role in supporting our dynamic Group Health Contracting Department, alongside various other departments like clinical and billing. Your day-to-day responsibilities will include performing both simple and complex rate analyses, ensuring that our contracts are not only technically sound but also aligned with the best practices in the industry. You’ll conduct detailed contract comparisons to spot any variances in language, and you’ll be responsible for developing and maintaining vital field resource tools, such as contract summaries and grid documents. You'll be the primary communications liaison for contracted payers, notifying them of key demographic changes and following up to ensure all updates are accurately reflected in their systems. Auditing will also be part of your role as you ensure that all data aligns correctly with internal resource tools, maintaining a high standard of accuracy. If you’re detail-oriented and organized, with at least three years of relevant experience in a group health setting, this role at Concentra could be the perfect fit for you. Joining our team means you’ll also benefit from a wide array of employee perks, including a competitive 401(k) plan and tuition reimbursement—making it not just a job, but a meaningful career advancement opportunity.

Frequently Asked Questions (FAQs) for Contract Administrator - Group Health - Hybrid Role at Concentra

What are the core responsibilities of a Contract Administrator in Group Health at Concentra?

The core responsibilities of a Contract Administrator in Group Health at Concentra include performing rate analyses, conducting contract comparisons for discrepancies, maintaining field resource documents, and serving as a liaison for payers. This role ensures accurate reporting and data integrity by performing various audits and coordinating demographic updates with contracted payers.