Contract Support Specialist

Profile: Remote work opportunities available for the following states: AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only. A Department of Defense contract requires U.S. citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen, and military family members are encouraged to apply. Job Summary Coordinates incoming correspondence in Provider Services, including reviewing and researching each issue/request, maintaining a log of all requests received, and electronically distributing all requests to the appropriate department or staff within the expected timeline. Ensures all provider agreements received in Provider Services are appropriately scanned and imaged into the contract management system; reviews agreements for any redlined changes, maintains a log of all agreements, and performs quality controls on agreement images. Education & Experience Required High School Diploma or GED 2 years of varied responsible experience with computer database programs Preferred 2 years of data entry experience Experience using provider data management system and/or contract management system(s) Experience working for a managed care program or health care provider Key Responsibilities Effectively communicate through writing and/or by phone when contracting internal and external customers to triage and bring resolution to incoming workload. Review and research all contact notes received in Provider Services; electronically distribute to appropriate department/staff within the expected timeline. Review and research all incoming inter‑office mail and external correspondence for provider data correction requests, and distribute to appropriate department/staff. Review all provider agreements received in Provider Services for accuracy and completeness, identifying any inappropriate redlined changes and determining appropriate handling. Maintain a log of all provider agreements received in Provider Services. Scan and image all provider agreements received in Provider Services; apply quality controls to ensure image quality. Assist with development and updating of protocols and desk procedures. Triaging and tracking issue resolution to completion. Perform other duties as assigned. Competencies Commitment to Task: Ability to conform to established policies and procedures; exhibit high motivation. Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate. Computer Literacy: Ability to function in a multi‑system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems within time constraints and with available resources; detail‑oriented. Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; realistic understanding of relevant issues. Technical Skills: Thorough knowledge of the credentialing process and requirements; proficiency with Word, Excel, Visual Cactus 3.0; ability to produce reports through querying; working knowledge of VA policies and procedures outlined in the VA Operations Manual, VA Policy Manual, DoD Regulations, and the TriWest Central Region RFP. Working Conditions Availability to cover any work shift Works within a standard office environment Extensive computer work with prolonged periods of sitting Department of Defense security clearance Benefits Medical, Dental and Vision Coverage Paid time off 401(k) Retirement Savings Plan (with matching) Short‑term and long‑term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time Salary: $42,000 - $46,000 per year, depending on specific role and location. Equal Employment Opportunity TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws. #J-18808-Ljbffr