Provider Contract Analyst Senior, Geisinger Health Plan (work from home Eastern United States)

• Reviews initial contract submitted for accuracy, acceptable language and terms.• Reviews documents for changes including all current delegation agreements and internal policies and procedures.• Assesses compliance with current law and utilizes legal resources to assure regulatory and accreditation requirements are met.• Assumes responsibility to prepare contract documents as requested and ensures that such documents contain complete and accurate terms and conditions of a business relationship including compliance with current law, regulation and accreditation standards.• Notifies team leadership of identified problems or revisions needed with contract terms and participates in activities to ensure compliance.• Coordinates Model Audit Rule , including gathering and assembling of documentation for key controls and uploading results electronically in an accessible provider data management system.• Reviews any adverse results with team leadership.• Coordinates data and performs ongoing maintenance of contract module application in provider data management system Assists in the training and problem-solving in the application.• Creates and performs quality control audits of contract rates and terms Coordinates and supports ongoing data compilation and analysis for service area expansion.• Assists with the maintenance of numerous contract templates, generic model documents to be utilized as the initial boiler template for the generation of commonly requested agreements.• Responsible for the development and maintenance of contract department desk procedures.Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.• Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years).