Contract Analyst

Pride Health is looking for Contract Analyst to support our client’s medical facility, which is in Bellaire, TX 77401

Pay range - $30 TO 33/hr on W2

Length of assignment – 8 weeks of Contract with possibility of extension

Location : Bellaire, TX 77401

Job Summary

Compiles and researches LOIs and prepares documents for the LOI Committee meetings, including mapping to evaluate network need. Monitors TMHP website for provider reimbursement changes on a monthly basis. Works with Contract Administrators to prepare service forms when provider participation or reimbursement changes are identified. Prepares and sends provider welcome packets and denial letters. Receives and tracks internal and external service forms to ensure appropriate follow-up and response is completed within five (5) business days. Implements database changes for providers within three (3) days of receipt from delegated entities. Prepares and processes Single Case Agreements and provider service documentation.

Responsibilities

• Compile and research LOIs and prepare documentation for LOI Committee meetings.
• Map provider requests and proposals to evaluate network needs.
• Monitor website monthly for provider reimbursement changes.
• Work with Contract Administrators to prepare service forms related to provider participation and reimbursement updates.
• Prepare and distribute provider welcome packets and denial letters.
• Receive, track, and monitor internal and external service forms.
• Ensure follow-up and responses are completed within five (5) business days.
• Implement provider database changes received from delegated entities within three (3) business days.
• Prepare and process Single Case Agreements (SCAs).
• Maintain accurate provider records and related documentation.

Required Skills

• Contracts
• Knowledge of the managed healthcare environment.
• Ability to utilize word processing, spreadsheet, and database software.
• Strong written and verbal communication skills.
• Data entry and documentation management skills.

Education

• High School Diploma or GED required.

Experience

• Minimum two (2) years of healthcare or managed healthcare experience required.

Pride Global and its affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity

Pride Global and its affiliates are an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment

Pride Global, and its affiliates are a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations

We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.