Healthcare Networks Coordinator

Job Description

Job Description

UNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!

PURPOSE

The purpose of this position is to assist the department with administrative functions associated with the Healthcare Network.

ESSENTIAL JOB FUNCTIONS AND DUTIES

• Develop and maintain excellent relationships with providers and vendors
• Prepare, mail and track all contracts, including facility and physician contracts and amendments, Business Associate Agreements, Consulting Agreements and Patient-Specific Letters of Agreement
• Communicate with providers/groups regarding contract language questions, concerns and/or language changes
• Prepare, mail and track Request for Proposals (RFPs)
• Coordinate the provider termination process
• Assist in the communication of new contracts, rates and amendments to internal and external customers
• Assist Director of Healthcare Networks with special projects
• Perform the above listed position functions independently (or with limited supervision) and within time frame defined for the specific task by Fund management
• Sets goals and achieve measurable results
• Contributes ideas to plans and achieving department goals
• Exemplifies the Fund’s BETTER Values and professional effectiveness dimensions in contributing to a respectful, trusting, and engaged culture of diversity and inclusion
• Performs other duties as assigned within the scope of responsibilities and requirements of the job
• Performs Essential Job Functions and Duties with or without reasonable accommodation

ESSENTIAL QUALIFICATIONS

Years of Experience and Knowledge

• 1 ~ 2 years of related experience minimum
• Some understanding of physician contracts and reimbursement required
• Managed care experience in provider relations, provider contracting and/or provider credentialing preferred

Education, Licenses, and Certifications

• Bachelor's degree or equivalent work experience required

Skills and Abilities

• Intermediate level Microsoft Office skills (PowerPoint, Word, Outlook)
• Intermediate level Microsoft Excel skills

OTHER JOB FUNCTIONS AND DUTIES

The information contained in this job description is designed to indicate the general nature and level of work performed in this job with a certain degree of specificity, where warranted. In no instance, however, should the duties, functions, qualifications, or requirements be interpreted as all-inclusive. Management may, at its discretion, assign or reassign functions and duties to or from this job at any time, due to reasonable accommodation or other reasons. Listed requirements, skills, qualifications and abilities included have been determined to illustrate the minimal standards required to successfully perform the position.

Salary range for this position: Hourly $25.69 - $31.44. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.

Work Schedule Work Schedule:  This is a hybrid position with work hours Monday-Friday, 7.5 hours per day (37.5 hours per week), with initial training conducted onsite. 

We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).

#LI-Hybrid