Tamheer - Provider Contract Support

Job Overview

The role focuses on managing provider contracts through administering agreements, extracting relevant data, and maintaining network systems in alignment with departmental goals and timelines to optimize system performance.

Contract Administration

• Assist in enforcing standardized contracts and ensuring compliance with regulations across all providers.
• Maintain and update provider files and system records uniformly with contractual agreements and amendments, ensuring proper filing.
• Track contract expiration dates and update systems accordingly within specified deadlines.
• Regularly monitor licensing renewals of providers to facilitate timely regulatory compliance.

Pricing, Discounts, and Coding

• Collaborate internally and externally to resolve any pricing and coding issues.
• Input updated pricing, contracts, and amendments into operational systems.
• Consistently report any system discrepancies or statement errors to supervisors.

Network Design and Management

• Help ensure that network modifications are accurately reflected in relevant systems.
• Keep an up-to-date master document of provider network distribution.

Coordination and Communication

• Liaise with operational teams and technical stakeholders to implement contract changes, including new additions or deletions and important milestones.

Skills and Competencies

• Proficiency in computer applications.
• Understanding of compliance and governance frameworks.
• Ability to document processes clearly.
• Competence in data analysis and report generation.
• Experience with dashboard creation and KPI monitoring.
• Intermediate expertise in Microsoft Excel and Microsoft Word.
• Managing action items and follow-up activities effectively.
• Strong stakeholder engagement and management skills.